St Francis Surgery: Pilgrims Close, Chandlers Ford, Eastleigh, SO53 4ST

Park Surgery: Hursley Road, Chandlers Ford, Eastleigh, SO53 2ZH

Email    Tel: 023 8025 2131

Contact Details

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Home Blood Pressures

Please complete all questions below.

Take Blood Pressure readings after sitting quietly for at least 5 minutes, ideally over 5 days, twice a day (one reading prior to mid-day and one reading in the evening after 6pm). Discard the readings taken on the first day and enter the 8 remaining readings on the form below. 

Please note that this form will not send unless all 8 Blood Pressure readings are entered.

Personal Details

Hypertensive Review

Smoking Status

Smoking Status

Alcohol Intake

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