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FAX Medicare Advantage Members with Hypertension Home BP Check Referral Form Date: Subject: Request for Home Blood Pressure Check Referral Form To: Ingenious HealthRecipient Fax: 9043011818From: Sender
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How to fill out monitoring your blood pressure

01
Find a quiet place to sit and relax before measuring your blood pressure.
02
Sit with your back supported, feet flat on the floor, and legs uncrossed.
03
Wrap the blood pressure cuff around your upper arm, making sure it is snug but not too tight.
04
Locate your pulse on the inside of your elbow and position the stethoscope earpieces in your ears.
05
Inflate the cuff by squeezing the rubber bulb until you can no longer hear your pulse through the stethoscope.
06
Slowly release the air from the cuff while listening for the first thump - this is your systolic pressure.
07
Continue to release the air and listen for the last thump - this is your diastolic pressure.
08
Note down the systolic and diastolic pressures, along with the date and time of measurement.
09
Repeat the process at least two more times and calculate the average to get an accurate reading.

Who needs monitoring your blood pressure?

01
People with hypertension or high blood pressure need to monitor their blood pressure regularly.
02
Individuals with a family history of cardiovascular diseases should also monitor their blood pressure.
03
People who are on certain medications that can affect blood pressure need to keep track of their readings.
04
Individuals with certain medical conditions like diabetes, kidney disease, or heart disease should monitor their blood pressure.
05
Pregnant women, especially those with gestational hypertension, need to monitor their blood pressure regularly.
06
Healthcare professionals may also recommend blood pressure monitoring for general health check-ups.
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Monitoring your blood pressure involves regularly checking the pressure of blood in your arteries to assess cardiovascular health.
Individuals with hypertension, cardiovascular diseases, or those advised by their healthcare provider are typically required to monitor and report their blood pressure.
To fill out monitoring your blood pressure, record your readings (systolic and diastolic values), the date, time, and any relevant notes about your health condition.
The purpose is to detect any abnormalities in blood pressure that could indicate potential health risks, allowing for timely intervention.
You must report the date and time of each reading, systolic and diastolic values, and any changes in medication or health status.
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