Be careful. Not taking vital signs can leave you wide open to litigation. I read case law, etc all the time. Recently a doc (urologist) was also sued when a patient 3 days later died from a stroke - they could prove that blood pressure was not well controlled by his primary doc and made the claim that a good urologist following guidelines would have taken a blood pressure and sought treatment for the man. We even have dentists taking blood pressures around here and I am glad as some docs in town (of the primary type) fail to get a blood pressure on a routine visit - and you guessed it...a visit to refill blood pressure medications....