AARP

On Coumadin^®?
QAS has portable, easy-to-use, self-test monitors that let you check your level wherever you are - at home and on
the road.

Thank you for your interest in Quality Assured Services, Inc. (QAS) and home INR testing. At QAS, we feel taking Coumadin^® (warfarin) shouldn't take time away from your life. With a portable monitor from QAS, you can determine your INR easily and reliably at home. To help get you started, simply fill out the information below so QAS can provide you with the specialized service you deserve.

First Name	Last Name

Address 1	Address 2

City	State	Zip

Phone Number	Email Address

For more information
click here or call 1.866.563.5530

How long have you been on Coumadin^®?

1-2 months
3-6 months
6 months - 1 year
I'm not on Coumadin^® but my
loved one is.

Describe your comfort level with going online and searching the internet.

I check my email and search the
internet often.
I rarely search the internet but check my email occassionaly.
I only do it when I need to.

Please check a box below.

I would like to receive more information via email.
Please call me with more information.
Please send information to the mailing address submitted.