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3 Day Home Blood Pressure Monitoring

Home Blood Pressure Monitoring Form 3 Days

Step 1 of 3 - About You

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- Buy a British Heart Association approved blood pressure machine
- Check blood pressure as per machine guidelines
- Record blood pressure twice a day for one week, morning and evening
- Sit for 5 minutes, ensure no disruptions or disturbance
- Take 3 readings, leaving 1 minute between each reading
- Record the lowest of the 3 readings on the chart below
Name*
NHS Number (if known)
Date of Birth*
Day
Month
Year
Address*
Telephone
Mobile Tel

Additional Information

Your Patient Record

Home Blood Pressure Monitoring

Healthcare Services Information

Patient Participation Group

Stevenage South Primary Care Network

Practice Information

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