Process Guide · South Africa

How Online Telehealth Weight Loss Consultations Work in South Africa

By Metabolic Doc · Updated April 2026 · 6 min read

If you've never had a telehealth medical consultation before, the idea can feel unfamiliar. What actually happens? Is it as thorough as seeing a doctor in person? Will the doctor really be able to assess me properly over video? This guide walks you through the entire process — from the moment you visit the website to the moment you walk into a pharmacy with your prescription.

The simple version: Complete an online form, pay R700 for your first consult + script, attend a 15-minute video call with a HPCSA-registered doctor, and receive an e-prescription by email within hours — if the doctor confirms you're a suitable candidate. The whole process takes 24–48 hours.

Is Telehealth Legal for GLP-1 Prescriptions in South Africa?

Yes. The Health Professions Council of South Africa (HPCSA) published guidelines in Booklet 10 that explicitly permit telehealth consultations, provided the consulting doctor:

All of these requirements are met by Metabolic Doc. Telehealth GLP-1 prescriptions are legally and ethically issued when the appropriate clinical assessment has been completed.

The Full Process — Step by Step

1
Complete the online intake form

Before your consultation, you'll complete a detailed intake form covering your height, weight, medical history, current medications, relevant symptoms, and the reason you're seeking GLP-1 therapy. This information allows the doctor to prepare for your consultation and identify any potential contraindications in advance. It makes the 15-minute consultation far more productive.

⏱ Approx. 10 minutes
2
Pay the consultation and script fee (R700)

The R700 fee covers your initial telehealth consultation (R350) and your first prescription (R350) — if the doctor determines you are clinically suitable. There are no hidden fees at this stage. Your prescription is sent to you regardless of which pharmacy you choose.

⏱ 2 minutes
3
Book your 15-minute video consultation

After completing the intake form, you'll select a consultation slot that suits your schedule. Consultations are available on weekdays and some weekends, from the comfort of your home, car, office — anywhere private. You'll receive a confirmation email with a secure video call link.

⏱ 1 minute to book
4
Attend the video consultation

The doctor will have reviewed your intake form before the call. The 15-minute consultation typically covers: verifying your information, asking follow-up questions about your health history, discussing your weight loss goals and expectations, explaining the medication options and dose schedule, reviewing any contraindications, confirming informed consent, and answering your questions. It's a real, substantive medical consultation — not a rubber stamp.

⏱ 15 minutes
5
Receive your e-prescription

If the doctor approves your treatment, you'll receive a valid electronic prescription (e-script) to your email address, typically within a few hours of the consultation. The e-script is a legally recognised prescription document accepted at all registered South African pharmacies.

⏱ Within hours of consultation
6
Collect your medication from any pharmacy

Present your e-script at any registered pharmacy. The pharmacist will dispense the medication, show you the injection pen, and explain storage and administration. If your preferred pharmacy doesn't have stock, call ahead or check with another branch — Ozempic and Mounjaro can sometimes have limited availability at individual pharmacies.

⏱ Same day (if stock available)
7
Monthly renewal consultations (R350)

Every 4 weeks, you'll have a brief renewal consultation to review your progress — weight change, side effects, dose tolerance, and whether a dose increase is appropriate. Renewals are R350 and follow the same video call format. Your updated prescription is sent after each renewal.

⏱ 10–15 minutes per month

What to Have Ready Before Your Consultation

Preparation checklist

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Your privacy is protected

All consultations and health data are handled in accordance with the Protection of Personal Information Act (POPIA). Your consultation is private and confidential. We do not share your information with third parties without your consent. Your medical records are retained securely for 5 years as required by the National Health Act.

What Happens If the Doctor Doesn't Prescribe?

The doctor's clinical decision is final and is made in your best interest. If the doctor determines that GLP-1 therapy is not appropriate for you — due to contraindications, ineligible BMI, or other clinical concerns — they will explain why and suggest appropriate alternatives. Patient safety always comes first.

Why Choose Telehealth for GLP-1 Treatment?

Frequently Asked Questions

Is a telehealth consultation as good as seeing a doctor in person for GLP-1?
For GLP-1 prescribing, a telehealth consultation is clinically equivalent to an in-person visit for the vast majority of patients. The assessment involves reviewing your medical history, BMI, medications, and goals — all of which can be done thoroughly via video call. HPCSA guidelines explicitly permit this.
Do I need to have my weight and height measured professionally?
No. You can use your home scale and measure your own height. The doctor uses the figures you provide to calculate your BMI and inform the consultation.
How long does the entire process take?
The intake form takes approximately 10 minutes. The video consultation is 15 minutes. If the doctor approves your prescription, the e-script is typically sent within hours. The entire process from first visiting the website to having a prescription usually takes 24–48 hours.
What happens after my first prescription?
You collect your medication from any pharmacy and start on the starter dose as directed. Every 4 weeks, you book a renewal consultation (R350) to review your progress and renew your prescription. Doses are increased gradually over several months according to the standard escalation schedule.

Find Out If You Qualify — Free, in 2 Minutes

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