Patient Forms
After completing the form(s), you may fax, mail, or email the form(s) to mdINR®. If you choose to email the form(s), please note that we cannot assure the safe delivery or security of your email transmission. Please be aware that there is a risk that your protected health information (PHI) could be read, viewed, or otherwise accessed by a third party. If you elect to send a form through email, you will have assumed the security risk of emailing the forms to us.
Reminder: There is no requirement to send the forms via email.
- Email: NewmdINRReferrals@Lincare.com
- Fax: 844.700.3484
- Mailing Address: 45 Turner Drive, Bldg A, Middleton, NY 10941
mdINR® Patient Enrollment Form
When you identify a new PT/INR Self-Testing patient, complete the Patient Enrollment Form. View, print, or save the Patient Enrollment Form.
mdINR® Patient Management Info
Clinical benefits and proven effects of weekly self-testing - Coumadin.
mdINR® Patient Management Info
Clinical benefits and proven effects of weekly self-testing - Warfarin.
Time in Therapeutic Range
mdINR® patients are within prescribed therapeutic range 86% of the time.
Checking Your PT/INR
As a warfarin patient, you now have the option of checking your PT/INR at home, anytime.
PT/INR Self-Testing
Is it right for you? Take charge of your INR testing today!
Sample Patient Result
A sample of the report you will receive of patient INR results.
CPT Code
Code for Anticoagulation Monitoring, in office vs. home testing services.
CoagTrak®
Warfarin patient management solution for point-of-care, lab drawn, home drawn and self-testing patients.
Digital Ordering/E-Prescribing
Prefer to order everything electronically. Place your next INR order via Parachute today!
mdINR® App Instructions
Quick start user guide for patient reporting of weekly INR results via our mdINR® app.
View the CoagTrak® Product Demo Videos
Part 2
Part 3
Choose mdINR® Today
mdINR is committed to assisting individuals, on long-term warfarin therapy, with a personalized service that allows the freedom of INR self-testing from the comfort of home or while traveling. mdINR provides high quality products, dependable service and reliable home delivery of INR testing supplies, nationwide, that helps patients live a healthier life. Medicare and other insurances may cover services enabling warfarin patients to self-test their INR levels weekly at home. Frequent INR testing is supported by significant published data showing improved outcomes resulting in more time within your safe therapeutic range.