Pill Check Form

If you are currently taking the oral contraceptive pill, then it is recommended that you have your blood pressure checked at least every 12 months. We also require an up to date weight. If you have a blood pressure machine at home then please record this and complete this form, if you do not have a home blood pressure machine then please use the monitor located in the waiting room at the practice.

Last Updated: 25/08/2021

  • Pill Check Form

    Date of Birth
    For example, 15 3 1984
    Do you currently smoke
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