Decline Hypertension review / Blood Pressure check

You may have received a text message from us asking you to have your blood pressure checked / have your annual hypertension review.

If you do not want this review / your BP to be checked please use this form to Decline.

We will send you an invite again in about a year. You can change your mind anytime.

Last Updated: 10/11/2023

Decline Hypertension review / Blood Pressure check

You may have received a text message from us asking you to have your blood pressure checked / have your annual hypertension review.

If you do not want this review / your BP to be checked please use this form to Decline.

We will send you an invite again in about a year. You can change your mind anytime.

What is your name? *

What is your date of birth? *

What is your postcode? *

Please confirm that you are not wishing to have a blood pressure check / Hypertension review *

I confirm

THIS FORM COLLECTS YOUR NAME, DATE OF BIRTH, EMAIL, OTHER PERSONAL INFORMATION AND MEDICAL DETAILS. THIS IS TO CONFIRM YOU ARE REGISTERED WITH THE PRACTICE, AND ALLOW THE PRACTICE TEAM TO CONTACT YOU AND ALSO TO UPDATE YOUR MEDICAL RECORDS HELD BY THE PRACTICE AND OUR PARTNERS IN THE NHS. PLEASE READ OUR PRIVACY POLICY TO DISCOVER HOW WE PROTECT AND MANAGE YOUR SUBMITTED DATA *

I consent to the practice collecting and store my data from this form and contact me if needed

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Decline Hypertension review / Blood Pressure check

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