Coumadin Monitoring Template
Form Template
The Coumadin or Warfarin Monitoring mobile app is designed for patients on anticoagulants.
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The app records Reason for Anticoagulation Therapy, Patient Information, Date, INR, Coumadin or Warfarin Dose (mg/day), Coumadin Adjustment, and Next INR Due. You can also capture a doctor's signature. Since the app is customizable, you can also use it to discuss Coumadin or Warfarin side effects, blood clot factors, any food-drug interactions, and use of over-the-counter medicine, including low-dose aspirin.
This app can be downloaded to an iPhone, iPad, or Android device. All information is securely stored on the GoCanvas Cloud and can be printed or emailed as a PDF if you need to share it with your healthcare provider or keep for your records.
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