How to use

Print this page, fill in your details, cut along the dotted line, and fold to wallet size. Laminate if possible. Keep one in your wallet and give a copy to a family member.

Medication Wallet Card

Print, fill in, and keep in your wallet for emergencies.

WARFARIN MEDICATION CARD

Keep in wallet. Show to all healthcare providers.

Full Name

Date of Birth

Blood Type

Warfarin Dose (mg/day)

Target INR Range

Prescribing Doctor

Doctor's Phone

Emergency Contact

Emergency Phone

Allergies

Other Medications

I am taking warfarin (Coumadin), a blood thinner. In case of emergency, please contact my doctor or emergency contact listed above. Do not give me aspirin or NSAIDs without consulting my doctor.