Recording Your Home Blood Pressure Readings
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1
2RECORDING YOUR HOME BLOOD PRESSURE READINGS
NAME:
......................................................................
DOB:
......................................................................
ADDRESS:
......................................................................
DAYTIME TEL. NO. ......................................................................
Please take two readings, each about two minutes apart in the morning and again in the evening
for six days and record on the chart below.
Date
Morning
Evening
st
nd
st
nd
1
2
1
2
Date
Day 1
Date
Day 2
Date
Day 3
Date
Day 4
Date
Day 5
Date
Day 6
Please hand in completed form to Reception .
A member of staff will review your recordings and contact you if these are raised.
Reviewed 06/2014
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Parent category: Medical