24-Hour Ambulatory Blood Pressure Monitor (ABPM)
Patient Information and Consent Form
What is an Ambulatory Blood Pressure Monitor?
A portable blood pressure monitor worn on a belt or strap that automatically measures your blood pressure at regular intervals over 24 hours. A cuff on your upper arm inflates and deflates throughout the day and night while you go about your normal activities. No radiation. No needles. No sedation.
Why has my doctor referred me?
- • To confirm a diagnosis of high blood pressure (hypertension)
- • To detect "white coat" hypertension — high readings only in the clinic
- • To check how well your blood pressure medication is working
- • To assess your blood pressure pattern over a full day and night
What happens — Step by Step
Arrive & check in
You will be welcomed by our staff and taken to a private room to have the monitor fitted.
Cuff fitted
A blood pressure cuff is wrapped around your upper arm and connected to a small recorder worn on a belt or strap.
Cuff inflates automatically
The cuff will inflate at set intervals — usually every 20–30 minutes during the day and every 30–60 minutes at night.
Keep the device dry
Continue your normal daily activities, but do not shower, bathe or swim while wearing the monitor.
Return the monitor
After 24 hours, return the device to the clinic so the recording can be analysed.
After the test — no risks, no downtime
- • No recovery time needed — some people get mild skin irritation from the cuff pressure
- • A specialist will review your recording and send a report to your doctor within 7 working days
- • Your health information is kept private under Australian privacy law
Privacy Notice
Collection purpose: Your personal and health information is collected by HeartWise Cardiology solely for the purpose of performing and reporting this ambulatory blood pressure monitoring and providing you with specialist cardiology care.
Storage & security: Your information is stored securely in our clinical records system, accessible only to authorised staff and treating clinicians, and retained in accordance with Western Australian health records legislation.
Disclosure: Results and relevant clinical information will be reported to your referring doctor and any other clinician directly involved in your care. Information will not be disclosed for other purposes without your consent, except as required by law.
Sensitive health information: This information is sensitive personal information under the Privacy Act 1988 (Cth) and the Australian Privacy Principles (APPs).
⚠️ Urgent care limitation: This form is for administrative consent purposes only. If you are experiencing chest pain, breathlessness, or any medical emergency, call 000 immediately.
For our full Privacy Policy or to access/correct your information, contact us at info@heartwisecardiology.com.au or (08) 6102 1655.
📋 Device Responsibility & Replacement Cost
I understand that the ABPM (blood pressure monitor) is a specialised medical device with a replacement value of approximately AUD $2,000.
By signing this consent form, I acknowledge that I am responsible for taking reasonable care of the device while it is in my possession and for returning it to HeartWise Cardiology by the agreed date and time.
I understand that if the device is lost, stolen, or damaged beyond normal wear and tear while in my care, I may be liable for the full replacement cost of AUD $2,000.
📋 By signing below, I confirm that I understand and agree to the following:
I understand the nature and diagnostic purpose of the 24-hour ambulatory blood pressure monitoring.
I have had the opportunity to ask questions and am satisfied with the answers provided.
I agree to keep the device dry and to return it to the clinic after the 24-hour recording period.
I acknowledge that I am responsible for the care and safe return of the ABPM device, and that I may be liable for the replacement cost of AUD $2,000 if the device is lost, stolen, or damaged beyond normal wear and tear.
I consent to my personal and health information being collected, stored, and used by HeartWise Cardiology as described in the Privacy Notice above.
I consent to my results being shared with healthcare professionals involved in my care, in accordance with Australian privacy and confidentiality laws.
Sign here with your finger or mouse
By signing above, I confirm the information provided is accurate and I consent to its use for my healthcare.
Perth CBD • Nedlands • Riverton • Joondalup
T: 08 6102 1655 | F: 08 6118 5522 | E: admin@heartwisecardiology.com.au | W: heartwisecardiology.com.au