IMPORTANT PRACTICE INFORMATION

THERE IS A 48 HOUR PRESCRIPTION ORDER POLICY WITHOUT EXCEPTION – SEE LINK ZERO TOLERANCE POLICY TOWARDS ALL STAFF – NO ABUSE WILL BE ACCEPTED UNREASONABLE DEMANDS ON SPECIFIC CLINICIANS WILL NOT BE ACCEPTED AS PER PRACTICE POLICY

Hypertension Review

Please select the preferred version of the Home Blood Pressure Diary Form. Once completed please upload the BP sheet containing your week’s blood pressure readings. Alternatively you can submit our online Blood Pressure Review Form if you prefer.

Hypertension Review
Enter Email
Confirm Email
Please use format day/month/year e.g. 12/05/1979

Your Height and Weight

Weight

Unit of measurement *
cm
kg
ft
in
lbs

BMI

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Healthy
Overweight
Obese

Hypertension Review

Maximum file size: 5MB

We accept jpeg, gif, png, tif, pdf, and word files up to 5MB.
Do you smoke *
How active are you? *
Could you eat more healthy? *
One of our clinicians will contact you on this number in the next couple of weeks.

Privacy Policy

This form collects your name, date of birth, email, other personal information and medical details. This is to confirm you are registered with the practice, to allow the practice team to contact you and also to update your medical records held by the practice and our partners in the NHS. Please read our Privacy Policy to discover how we protect and manage your submitted data.