Patient Forms
After completing the form(s), you may fax, mail, or email the form(s) to Advanced Cardio Services™ (ACS). If you choose to email the form(s), please note that ACS 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: ContactACS@Lincare.com
- Fax: 844.700.3484
- Mailing Address: 2001 N.E. 46th Street, Suite 152, Kansas City, MO 64116
ACS® 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.
ACS® Patient Management Info
Clinical benefits and proven effects of weekly self-testing.
Time in Therapeutic Range
ACS® 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 ACS® Today
ACS is committed to assisting individuals on long-term warfarin therapy with a comprehensive anticoagulation program that allows patients to self-test for INR from the comfort of home. ACS provides industry-leading products, dependable services, and ongoing support that helps patients every step of the way.
If you are interested in learning more about how you can self-test for INR from the comfort and safety of home, contact us today.