Complete your

Contraception

Blood Pressure Review

Contraceptive Blood Pressure Monitoring Form

Contraceptive Blood Pressure Monitoring Form

If you are over 21 and have been advised by the surgery to submit your information, please complete the information below:

Contact information

Your details.
Address
Town
County
Postcode
If you are under 21, please come into the practice. this form can only be used if you are over 21 years of age.

Your blood pressure reading is:

systolic
diastolic

Do not continue filling in this form.

Your blood pressure is dangerously high. Please contact the practice or Click here to call 111

We hold smoking cessation clinics  at the practice

You can also get help quitting at:

 

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