If you encounter an problem where Cardiostream crashes upon printing, you must adjust settings within Adobe Acrobat to correct the issue.
First, go into Acrobat properties, and disable the option to "Enable Protected Mode at Startup".
Next, elevate the permissions for Acrobat by right-clicking on the Acrobat icon and selecting "Properties". Next, navigate to the "Security" tab, and edit the settings. Locate the option for "Users", and the set the permissions to "Full Control" for all categories.