Admin: Home Blood Pressure Form (7 days)

This page will allow you to submit your home blood pressure readings. They will be recorded in your medical records. If needed, our clinical team will contact you to discuss the results. Taking your blood pressure over a one week period once a year (or as frequently as your GP requests) and recording as shown below will help us monitor your blood pressure.

We would recommend a BP machine with an arm cuff rather then a wrist one, these can be purchased from a chemist or online and are affordable. Please watch this video for instructions on how to complete your blood pressure measurement. The picture below will help you understands the readings produced from the machine.

How to take and record your Blood Pressure Readings:

1. It is important to take your blood pressure when you are seated and not talking.
2. Take 2 readings at least a minute apart mornings and evening and record the lowest of the two readings each time
3. Record these readings for 7 days. Morning and evening.
4. If your machine records the pulse rate also record this.
5. Fill in the name of the patient, date of birth and telephone contact (only use one form per patient)
6. The Message box is optional, please use if you think we should know about anything significant such as if you have had to stop any of your medicines.

Privacy Protection

Information submitted through secure forms is used only for the purposes of processing your request. We may be in touch with you in relation to the information submitted.

All Information submitted through secure forms is secured with a private key and is accessed over a secure connection by nominated staff. We have a strict confidentiality policy.

This information is not shared with any third party organisations.

This information is retained for up to 28 days.

Learn more about our Privacy Policy and Terms of Use. Should you have any concerns about sending your personal details using the web, please use one of the alternative methods offered by our organisation.