This online form allows you to securely send in your blood pressure readings to the practice.
You should only use this form if asked by a clinician at the practice.
The clinician will let you know if they want 1 weeks of readings or less.
Once you have all the readings, just enter them in the form below and send to us. Simple.
Make sure you have read the short leaflet from the British Hypertension Society on how to measure the perfect blood pressure.
So for day 1 you would measure your blood pressure in the morning and write it in the ‘morning 1st reading’ box.
Then wait 2 minutes and measure the blood pressure again, and write it in the ‘morning 2nd reading’ box.
Do the same in the afternoon.
That’s 4 readings in the day.
Just do the same for the rest of the week until you have 7 days of results, or how ever many you were asked to complete. Then enter them in the form below.
We can then review your results and contact you if required.
Information submitted through secure forms is used only for the purposes of processing your request. We may
be in touch with you in relation to the information submitted.
All Information submitted through secure forms is secured with a private key and is accessed over a secure
connection by nominated staff. We have a strict confidentiality policy.
This information is not shared with any third party organisations.
This information is retained for up to 28 days.
I consent to my information being used for the purposes described above and wish to submit this online form to
Portland Medical Practice
Anchor Meadow, Aldridge, Walsall, West Midlands, WS9 8AJ.
Should you have any concerns about sending your personal details using the web,
please use one of the alternative methods offered by our organisation.