Blood pressure form

If your blood pressure is 180/120 or more – URGENT same day GP appointment

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Name *

First

Last

Date of birth *

e.g. 10.06.1966

Telephone number *

Email *

Blood pressure reading *

e.g. 140/90

GP Practice *Wandsworth Medical CentreSouthfields Group PracticeElborough Street SurgeryThe Earlsfield PracticeTriangle Surgery

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