Blood Pressure Review

If you have been advised by the surgery to submit your blood pressure readings on a regular basis please use this form.

How to Take Blood Pressure at Home

Please watch the video produced by the British Heart Foundation on how to take your blood pressure at home.

The practice would strongly encourage patients to think about buying a home blood pressure monitor, especially in the current climate. This would help us to undertake more consultations and reviews by phone, video and e-consult while reducing the coronavirus risk posed to patients and staff when patients are seen in person.

More information can be found on the British Heart Foundation website.

 

Blood Pressure Review

Blood Pressure Review

About You

Please use this date format: DD/MM/YYYY.
Please let us know your preferred contact number in case we need to contact you.
Smoking status

Your Blood Pressure

Please provide a minimum of one blood pressure reading, up to a maximum of seven.

Day 1

Please use this date format: DD/MM/YYYY.
Morning Measurement
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Evening Measurement
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Day 2

Please use this date format: DD/MM/YYYY.
Morning Measurement
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Evening Measurement
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Day 3

Please use this date format: DD/MM/YYYY.
Morning Measurement
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Evening Measurement
/

Day 4

Please use this date format: DD/MM/YYYY.
Morning Measurement
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Evening Measurement
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Day 5

Please use this date format: DD/MM/YYYY.
Morning Measurement
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Evening Measurement
/

Day 6

Please use this date format: DD/MM/YYYY.
Morning Measurement
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Evening Measurement
/

Day 7

Please use this date format: DD/MM/YYYY.
Morning Measurement
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Evening Measurement
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Average Blood Pressure

This is automatically calculated for internal use only.

Morning Measurement

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Evening Measurement
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