Xenical

The Xenical Plan includes:

Information on how Xenical works and what to expect in weight loss.
Tips on smarter eating and the principals of healthy low fat eating.
Advice on getting active.
Assistance with setting realistic goals.
The Xenical website provides personalised access to the web, available 24 hours on www.xenical.com.au

Please complete all of the fields below and click 'REGISTER' to be registered on the program.

Xenical Bar Code
To be eligible for enrolment in Xenical Plan, you must be taking Xenical. Please provide the bar code from your pack - check the image above for location of the bar code.
Bar Code *
Your Personal Details
Salutation
First Name *
Last Name *
Email address *
Phone Daytime	( )
Phone Evening	( )
Mobile
Fax	( )
Address Line 1
Address Line 2
Suburb
State
Post Code *
Country	AUSTRALIA
Your Xenical Plan Schedule
Starting Date *
Starting Weight *	kg
Target Weight *	kg
Starting Waist	cm

At which pharmacy did you buy your Xenical? Click here to locate and nominate it If you can't find it on our locator, enter the name and suburb in the fields below:
Pharmacy Name *
Suburb *