Home Blood Pressure Monitoring Form
Posted on January 20th, 2020
Take a look at our home blood pressure monitoring form, highlighting the equipment loan agreement between the patient and the practice. Once the home bp monitoring sheet has been filled in, you can hire out a blood pressure machine for either 9 days or 7 days of recording.
HOME BLOOD PRESSURE MONITORING FORM
Important things to note when filling out the home bp monitoring sheet
- The equipment is to be returned by the specified date and is for the specific use of the named patient.
- The Practice will maintain and test the equipment before issuing it to the patient.
- The patient must have insurance to cover loss or damage to the equipment and must inform the Practice and make a claim if such loss or damage occurs.
- If the insurance settlement does not cover the full cost of replacement, the patient is responsible for the shortfall.
- Late return of the equipment will result in daily rental charges or the full replacement value becoming due.
- The patient must not modify or misuse the equipment.
- It is the patient’s responsibility to return the equipment on time and obtain a signed receipt.
- Any extension of the rental period must be agreed to in writing by the Practice.
- The Practice will provide instruction on the proper use of the equipment but is not responsible for incorrect use once it has been issued to the patient.
Take a look at the form above for more information or get in touch with The Brooke Surgery if you have any further questions.