Journey 2 Health

Journey 2 Health

Blood Pressure Monitoring Form
Name

First NameLast Name
Date of Birth (for identification purposes)

MonthDayYear
Date
Date & Time that BP was taken.

MonthDayYear
Date
Hour MinutesAM/PM Option
Top #:
Systolic BP is usually between 105 and 135
Bottom #:
Diastolic BP is usually between 60 and 85
Heart Rate
Heart Rate is usually between 60 and 100
If your blood pressure is too high or too low, please request an appointment so we can discuss your Journey 2 Health!
Additional Notes:
Should be Empty: