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  Warfarin Care at Peak Vista 

Managing warfarin can be tricky because every person’s body reacts differently. The Warfarin Center supports patients who have been prescribed warfarin by a Peak Vista provider and are referred for ongoing monitoring. Our trained pharmacists work with your provider to help keep your treatment safe and on track.

How we help:

  • We check your INR (International Normalized Ratio), a test that shows how “thin” your blood is and how well your blood thinner is working. We adjust your warfarin dose when needed, following care protocols.
  • We work with you to ensure you have the proper plan surrounding procedures or surgeries.
  • We review any changes in your diet, health, or medications, and how those changes affect your INR.
  • We help you understand how and when to take your medicine.
  • We discuss vitamin K content in various foods and help you plan the just right amount for you.
  • We order your wafarin prescription to your preferred pharmacy.

Why This Matters: Warfarin helps prevent serious health problems, but it must be watched closely. Referral-based care ensures your provider and pharmacy team are working together to keep you safe and healthy.

 On This Page

  1. What Pediatric Services Does Peak Vista Offer
  2. Why Choose Pediatric Health Care at Peak Vista
  3. Ways Your Family Benefits from Pediatric Care
  4. Pediatric Locations & Care Team
  5. Extra Support & Resources for Families
  6. Specialty Care & Guidance
  7. Questions Parents Ask Most

A pediatrician at Peak Vista Community Health Centers consulting with a mother and her baby during a check-up.

A pediatrician at Peak Vista Community Health Centers examining a child's ear with an otoscope.

  Why Regular Monitoring Matters

Warfarin levels can change easily, even when you take it the same way every day. Things like diet, illness, stress, or new medications can affect how it works. Regular INR checks help your care team make sure your blood is not too think or too thin.

What can change your INR:

  • New or changed medications or supplements.
  • Eating more or less vitamin K.
  • Being sick or experiencing especially stressful situations.
  • Changes in smoking habits.
  • Missing doses of warfarin.

Why This Matters: Checking your INR often helps prevent dangerous bleeding or clotting, keeping your treatment safe and effective.

What to Expect at Your Visit

Visits to the Warfarin Center are quick and simple. A pharmacist will check your INR, talk about any changes since your last visit, and adjust your dose if needed. You can always ask questions or talk about any concerns.

During your visit:

  • A finger-stick blood test checks your INR.
  • You review any changes in medicines, diet, or health.
  • Your warfarin dose may be updated.
  • You receive clear instructions for next steps.

Why This Matters: Knowing what happens during your visit helps you feel more comfortable and confident in your care.

Why This Matters: Pediatric care gives children the best start in life and provides parents with reassurance every step of the way.

  Safe Warfarin Use

Many medicines and vitamins can change how warfarin works. Even common products like pain relievers and cold medicines can affect your INR. Always talk to your provider or pharmacist before starting anything new.

Some things to watch for:

  • Antibiotics or antifungal medications.
  • Pain relievers like ibuprofen or aspirin.
  • Herbal products such as ginkgo or St. John’s wort.
  • Vitamins and supplements.

Why This Matters: Knowing what interacts with warfarin helps avoid sudden changes in your INR that could lead to bleeding or clotting problems.

You do not need to avoid vitamin K, but you should eat a steady amount each week. Sudden changes in foods like leafy greens can affect your INR.

Foods high in vitamin K include:

  • Spinach.
  • Kale.
  • Collard greens.
  • Most green-colored vegetables.

Why This Matters: Keeping your diet steady helps keep your INR steady, which keeps your treatment safe.

Everyone forgets sometimes. If you miss a dose, take it as soon as you remember on the same day. If it is the next day, skip the missed dose. Do not take two doses at once.

Key reminders:

  • Take the missed doses the same day.
  • Skip it if you remember the next day.
  • Never double up.
  • Tell your care team if missed doses happen often.

Why This Matters: Taking too much warfarin at once can increase risk for bleeding. Following simple steps keeps treatment safer.

Warfarin can make bleeding more likely, so small habits can help protect you. Be gentle with your gums and skin, and watch for signs of unusual bleeding.

Helpful habits:

  • Use a soft toothbrush and electric razor.
  • Be careful with sharp tools.
  • Watch for bruising, nosebleeds, or dark stools.
  • Wear a medical alert bracelet if possible.

Why This Matters: These easy steps lower your risk of injury and help you stay safe while taking warfarin.

Some symptoms need quick attention. Do not wait if you fall, hit your head, or see signs of bleeding or trouble breathing.

Seek emergency care if you have any of the following:

  • Heavy or uncontrolled bleeding.
  • A bad fall or head injury.
  • Sudden chest pain or shortness of breath.
  • Sudden weakness/numbness (especially one-sided), trouble speaking or understanding.
  • Severe headache, dizziness, balance issues, or weakness.

Why This Matters: Getting help fast can prevent a serious emergency and protect your health.

  Peak Vista Pharmacy

Birth to age five are crucial years in a child’s life. Our First Visitor program provides free, one-on-one support for parents and caregivers in the comfort of their own home.

Our services include:

  • Emotional support and guidance.
  • Free resources and gifts for your child.
  • Information on child development, health, safety, and nutrition.
  • Connections to community resources.

We also provide free classes in English and Spanish on preventing Sudden Infant Death Syndrome (SIDS(opens in a new tab)), Abusive Head Trauma (AHT/Shaken Baby Syndrome), and Car Seat Safety Classes.

Learn more about Peak Vista's First Visitor Program(opens in a new tab) and My Baby Patient Education(opens in a new tab).

Why This Matters: Supporting families early helps children thrive in school, at home, and in life.

For more than 50 years, community health centers across the nation have been caring for kids and families. Peak Vista is proud to be part of this tradition.

Community Health Centers (CHCs) provide high-quality, affordable medical, dental, and behavioral health services to everyone—regardless of ability to pay. Today, CHCs serve more than 8.8 million children nationwide.

At Peak Vista, we focus on continuity of care, building strong relationships between families and providers to improve long-term health outcomes. Our programs support success at school, healthy lifestyles, and the overall well-being of children.

Read more about Peak Vista's Mission, Vision, and Values.

Why This Matters: Generations of families have trusted CHCs like Peak Vista to keep kids healthy and cared for.

Peak Vista connects families to the Women, Infants, and Children (WIC) program, which supports nutrition during pregnancy and early childhood.

How WIC helps children:

  • Access to healthy food, formula, and nutrition education.
  • Guidance on feeding infants and young children.

The Community Partnership for Child Development (CPCD) is also onsite at the Pediatric Health Center at International Circle periodically, giving families additional access to early childhood education and support.

Read about WIC Nutrition(opens in a new tab).

Why This Matters: WIC ensures children and moms have the nutrition they need during the most important years of growth, while CPCD’s presence adds another layer of support for young families.

  Frequently Asked Questions

  1. When should my child first see a pediatrician?
    Babies should be seen within the first few days of life, and then regularly for well-child visits. Call (719) 632-5700(opens in a new tab) or schedule an appointment online(opens in a new tab)(opens in a new tab)(opens in a new tab)

    Why This Matters: Early visits help track growth and catch issues before they become serious.

  2. How often should my child have a check-up?
    Regular visits are recommended throughout early childhood and once a year for school-age children.

    Why This Matters: Preventive care keeps kids healthy and gives families peace of mind.

  3. What should I do if my child is sick — urgent care, ER, or the pediatrician?
    Call your pediatrician first unless it’s a life-threatening emergency.

    Why This Matters: Choosing the right level of care saves time, money, and stress.
  1. What developmental milestones should I watch for?
    Milestones include sitting, walking, talking, and social skills. Providers can screen if you have concerns.

    Why This Matters: Early support helps children reach their fullest potential.

  2. How can I support my child's mental and emotional health?
    Check in often, model healthy coping skills, and ask for help from behavioral health providers if needed..

    Why This Matters: Emotional well-being is key to learning, friendships, and family life.
  1. What vaccines does my child need, and when?
    Children follow the CDC-recommended schedule from birth through adolescence. Peak Vista helps families stay on track.

    Why This Matters: Vaccines protect your child and community from preventable diseases.

  2. What dental care does my child need, and when should they see a dentist?
    Children should see a dentist by age one or their first tooth and continue with regular checkups.

    Why This Matters: Good oral health supports overall health and prevents future problems.
  1. How can I help my child eat healthy and stay active?
    Offer balanced meals and encourage daily play, while limiting sugary drinks and screen time.

    Why This Matters: Healthy habits formed early can last a lifetime.
  1. How do I choose the right pediatric provider for my family?
    Consider location, insurance, provider experience, and your family’s comfort with the provider.

    Why This Matters: Finding a good fit helps ensure your child receives consistent, high-quality care.
  1. What if my child doesn't have insurance?
    Peak Vista offers sliding scale fees, financial assistance, and help enrolling in Medicaid or CHP+.

    Why This Matters: Every child deserves health care, no matter the family’s financial situation.

  2. What types of insurance does Peak Vista accept?
    Peak Vista accepts Medicaid, CHP+, Medicare, and many private insurance plans.

    Why This Matters: Knowing your coverage ahead of time helps avoid surprise bills.

  3. Can I get help applying for Medicaid or CHP+?
    Yes, our Enrollment Services team(opens in a new tab) can walk you through applications and eligibility.

    Why This Matters: Many families qualify for assistance programs but don’t realize it.

  4. What if I need to pay out of pocket?
    We offer discounts based on household size and income through our Sliding Fee Discount Program(opens in a new tab).

    Why This Matters: Affordable payment options help ensure children get care when they need it.