If INR above 8 call GP practice, otherwise submit the Warfarin form below.

    This Warfarin questionnaire will help your healthcare provider determine if we need to review your Warfarin dose

    What is your INR?

    Is this in range for you?

    Have you experienced any bleeding?

    Have you experienced any bruising?

    Have you missed any doses in the last week?

    Have you had any changes to medication, diet, pain killers or alcohol consumption?

    If you answered yes to the last question, please give further details?

    What is your current daily dose of warfarin?

    How many test strips do you have left?

    What is the expiry date of your test strips?