Home Blood Pressure Reading Forms
High blood pressure, or hypertension, rarely has noticeable symptoms. But if untreated, it increases your risk of serious problems such as heart attacks and strokes.
We encourage our patients to check their blood pressure; this can be done at home using a Home Blood Pressure Monitor or at Wallingbrook Surgery using the Blood Pressure Monitoring machine in the MOT Bay situated in the waiting room.
If you take your blood pressure at home please use the Home Blood Pressure Readings Form below to record your readings, hand in the form to our reception team who will then record your average home reading into your records. The home reading average will give us an accurate reading and help us advise if you need treatment.
Home Blood Pressure Reading Form
Asthma Review Questionnaire
For patients who are due an annual asthma review.
Please would you answer the questions on the form below and submit it
If your symptoms are deteriorating or you have any concerns, please make an appointment to the respiratory nurse or a doctor as well.
Open the Asthma Annual Review Form
Please answer the questions in the short questionnaire to enable us to assess your alcohol consumption rate and offer advice if necessary.
Alcohol Consumption Questionnaire