Registering a patient with the Warfarin Care Clinic can be done in one of two ways:
- By Phone on 1300 795 355 (requires at least 24 hrs notice)
- By Interactive PDF Registration Form (requires up to three business days)
Illegible handwritten requests cannot be processed until all information is clarified, this will delay the registration process. In order to reduce transcription errors and our mutual medico-legal liability, please submit typed requests where possible.
We advise that warfarin dosing responsibility remains that of the treating LMO until a warfarin registration is accepted by QML Pathology.
The registration service operates Monday to Friday 8.00am to 5.00pm. The service is closed for a few weeks over the Christmas, New Year, and Easter periods.
Step 1: Check patient’s eligibility
You’ll need to confirm that the patient or their carer can understand English and has at least two contact numbers where the primary contact number is a mobile.
You’ll also need to confirm that your patient has stopped or is no longer on low molecular weight heparin (LMWH), and INR is within the therapeutic range.
QML Pathology does not monitor the warfarin doses of patients who are still on LMWH and are not under the direct care of a specialist. Patients who have had a previous history of non-compliance may not be accepted onto the monitoring program.
Step 2: Collate Details
Please provide the following:
- Patient details
- Medical history
- Warfarin doses
- Local Medical Officer details (we cannot accept a patient without an LMO)
- Pharmacy or carer contact details, if patient is unable to manage their own medicines.
Step 3: Submit Patient Registration Request and signed Informed Financial Consent Form
You can submit your patient’s registration via:
Phone: 1300 795 355 (requires at least 24 hrs notice).
Step 4 : Include Patient Reference Number on Initial Request Form
Once approved you will receive a QML Reference number. You’ll then need to complete a signed request form to give to the patient for their first test, in tests requested include:
- INR - NEW QML control
- QML Reference number
- Rule 3 Exemption
- FBC and E/LFTs (if required)
If the patient has not had FBC and E/LFTs with QML Pathology in the past two months, you’ll need to request these with their first INR. Rule 3 Exemption is to be noted on the request form when the requesting doctor is the primary care doctor.
If your patient has been registered via a public hospital or the registering doctor doesn’t wish to receive ongoing INR results, the request form is to be completed for the patient to take to their primary care doctor for a signature. They can also use this for their second INR. However, you must supply a one-off request form for the patient’s first test, completed as above excluding the ‘Rule 3 Exemption’.
Discharging a patient from hospital and re-enrolling into the Warfarin Care Clinic
When a patient is admitted into hospital this service is temporarily discontinued and must be reactivated. To assist in maintaining a safe INR, the dosing Haematologist requires the discharging hospital to supply the Warfarin Care Clinic with an updated health and medication history including recent Warfarin doses and INR results.
The medico-legal consequences of blind dosing are an issue that can involve the laboratory and the referring physician.
Please download the Post Discharge Information Update Form PDF from the Warfarin Downloads section on this page or you can contact the Warfarin Care Clinic on 1300 795 355, Monday - Friday: 8:00 am - 5:00 pm.