Blood Pressure

Submit one, two or three readings

Use the form below to submit one, two or three readings.

If the best of these readings is over your personal target then it would probably be worth submitting 5 days of readings instead. If you do not know your personal blood pressure target why not ask one of our doctors or nurses next time you are in contact with us.

Blood Pressure Submission

Full Name *

Date of Birth *

First line of address *

Confirmation *

I confirm that I am a patient of Wistaria and Milford Surgeries

Please submit one – three readings below.

If you know your best reading is higher than it should be then you probably are best completing a full 5 days of readings instead.

Blood Pressure Reading 1: (systolic / diastolic) e.g. 120/80

Blood Pressure Reading 2: (systolic / diastolic) e.g. 120/80

Blood Pressure Reading 3: (systolic / diastolic) e.g. 120/80

If you are human, leave this field blank.