Currently in the Family Health Center, RN visits are available to use for blood pressure checks and medication titration, however there is no standardized process for these visits and no standardized way for providers to communicate to the RNs their instructions for the visit, and no standardized way for RNs to record/communicate the outcome of the visit. Some providers are not aware that these visits are available, and other providers have not had success using them. RNs have had difficulty recieving instructions for the visits and difficulty with the variability and lack of standardization of the visits. These visits are an incredible resource that can reduce the number of encounters required with a provider, optimize patient care and treatment of hypertension, and do so in a more efficient and clinically appropriate time frame. A standardized format for these visits, along with standardization of provider instructions for the visits and standardization of RN documentation of the visits, would be a huge resource to the Family Health Center and to our patients.