Blood Pressure Review – 1 Day Reading

If you have been requested by the surgery to submit one day blood pressure readings or for periodic blood pressure submissions please use this form.

Blood Pressure Review - 1 Day Reading

If you are human, leave this field blank.

Address:

Smoking status

Smoker

Never smoked

Ex-smoker

How many per day do you smoke?

When did you give up smoking?

Your Blood Pressure

Please provide two readings taken 5 minutes apart.

Day 1

Date:

Please use this date format: DD/MM/YYYY.

Reading 1

Systolic "Higher"

Diastolic "Lower"

Heart Rate

Reading 2

Systolic "Higher"

Diastolic "Lower"

Heart Rate

I confirm that the information provided is accurate to the best of my knowledge

Important -

The surgery will be closed on Tuesday 20th June 2023, 1pm-6:30pm for staff training. Patient safety is of the highest importance to us and during these difficult times our staff h... Find out more

Important -

Junior Doctors’ Strike – For more information about the expected disruption to NHS services across Surrey and advice on how to access urgent care please visit www.surreyheartl... Find out more

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Blood Pressure Review – 1 Day Reading