Warfarin Care Clinic Patient Registration

Patient Registration Online Form

Registering a patient

Please Note: Continue to supply the patient with dose instructions until you have received confirmation that the registration has been accepted (1-3 business days). Once confirmed you will receive a registration number – write this on the first request form for QML Pathology to control INR plus one-off FBC & E/LFTs.

Your patient must complete the patient signed Informed Financial Consent. This must be sent to us by email warfarin@qml.com.au or fax to (07) 3121 4335 before we can complete registration of your patient.

  • Doctor Information

  • Registering Doctor

    Specialist or Primary Care Doctor
  • Primary Doctor

    (if not registering doctor)