Blood Pressure Review

Do not use this online messaging service for urgent queries. If you have any chest pains, severe shortness of breath or any signs of stroke i.e. any weakness of face or limb or difficulty in speech, please call 999. Please visit our Practice Demand page for more information and we would link to the message.

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

Blood Pressure Review

Blood Pressure Review

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
/

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
/

Day 5

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