Cross Deep Surgery

4 Cross Deep, Twickenham, TW1 4QP

Telephone: 020 8892 8124

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Home BP Monitoring

Step 1 of 3 - About You

- Buy a British Heart Association approved blood pressure machine
- Check blood pressure as per machine guidelines
- Record blood pressure twice a day for two weeks, 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*
DD slash MM slash YYYY
Address*
Telephone
Mobile Tel

Average Blood Pressure

This is your average blood pressure reading. The calculation has ignored day 1 (as this was when you were just getting used to the monitor) and is an average of the remaining readings.
Average Systolic*
Average Diastolic*
Please click below to submit this form to the Practice
Requesting Doctor

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