Robert, a 45 year old black male, presents to your office. He states that he is looking for a new primary care provider as he just moved into the area. He brought a copy of his medical records with him. After you carefully review these records, you discover that he blood pressure was elevated at two separate visits at 147/107 mmHg. Recent laboratory tests, CBC, CMP, UA and TSH were within normal limits. A recent EKG shows normal sinus rhythm with left ventricular hypertrophy. He denies any medical problems and tells you that he was never diagnosed with high blood pressure. He denies any medication use, drug use or tobacco use but admits to drinking two beers per day. His blood pressure today in office is 156/110 mmHg. What is your next plan of action?
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