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Blood Pressure Review

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

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

Smoking status

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

Morning Measurement

Evening Measurement

Day 2 Evening Measurement 

Day 3 Evening Measurement

Day 4 Evening Measurement

Day 5 Evening Measurement 

Day 6 Evening Measurement

Day 7 Evening Measurement