For a Seriously Better You....

  English | Indonesia |


We have moved. New office will reopen shortly. In the meantime call the following number for appointments:

081 1163 2656


Click the link below to find out what your BMI is and what that means

Registration / Signup

This registration provides you with a member account to Skinny World HCG Weight Loss Program services. Please note that fields marked * are required.

Weight Loss assisted by HCG has little to no side effects on most patients, however, it is a requirement that you read and agree to the disclaimer information prior to registration. Click here.

Patient First Name *
Patient Last Name *
Occupation *
Male *
Female *
Date of Birth *
Highest Weight *
Current Weight *
Height *
Address *
Suburb *
Zip Code *
City *
Country *
Daytime Telephone * -   example +62-123456789
Mobile Phone *
Email *
Facebook Account
Please complete the following information about your health status and medical history:
Health History
   Type 1
   Type 2
Heart Disease
   Valve replacement
   Heart Attack
High Blood Pressure
Kidney Disease
   Kidney Stones
   No impairment
Thyroid Dysfunction
Menstrual Disorders
Breathless on Exertion
Seizure Disorder (epilepsy)
Migraine or Headaches
Rheumatic Pains
I have read the Disclaimer Information and give Informed Consent to proceed with Skinny World HCG Weight Loss Program.
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