Submit your own observations – Devon Sexual Health

Patient ID number*

This will begin with F or M

Date of birth*

Height (cm)*

Weight (kg)*

BMI

caculated from your height and weight (as entered)

Blood pressure - systolic (first number)*

Please enter a number from 70 to 200.

Blood pressure - diastolic (second number)*

Please enter a number from 30 to 130.

Date observations were taken*

File

Please upload your image of the blood pressure monitor here

Max. file size: 50 MB.

Consent*

By clicking you consent you:
- confirm these are true and accurate readings
- understand your results will be communicated by secure email to an Devon Sexual Health NHS email account for clinical review
- agree with the privacy policy of the DSH website: https://www.devonsexualhealth.nhs.uk/privacy-policy-2/

I agree to the privacy policy.

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