APPROVED LASER FORMAT MEDICAL SCRIPTS for TouchWorks

www.rxpaper.com/TouchWorks

Micro Format, Inc. is a California State Pharmacy Board
and Department of Justice "approved printer"
for Secure Prescription Paper.

Micro Format Secure Prescription Paper contains all of
the features required by the California State Legislation.

After you complete your order ...
The California Department of Justice requires that a copy of your DEA Registration be sent to us by FAX.
This is a State requirement.
We cannot process any order for which we do not have a current DEA Registration form on file.
Please FAX a copy of your DEA Registration form to
MICRO FORMAT Customer Service
Fax Number: (847)520-0197
Thank you.

Once we receive your DEA Registration Certificate, it will be reviewed along with your order form. After it has been determined that everything is in order, your order will be processed.

California Prescription Paper Imprinting Information
and your Credit Card Payment Information will be requested
AFTER you have clicked on the "Add to Your SHOPPING CART" button
Due to State of California Regulations, un-imprinted laser scripts are not available.

When Requested,
Please accurately fill-in the information that needs to be imprinted on the top of each sheet.

• California law requires scripts must contain both the DEA# and License# for each doctor listed.
  
• A copy of the DEA Registration for each doctor listed must be sent to us by FAX.
• Printing additional names and/or locations on the back of the script is
  available at an additional charge. For additional information
  please CALL Customer Service at (800)333-0549.

• Under California Law ... ALL California Laser Prescription Paper
  MUST BE SHIPPED to the address on file with the DEA

California Approved Laser Prescription Paper

Item #RxL810 Sheet Size: 8-1/2" x 11"

Item# RxL810 Script Size: 5-1/2" x 4-1/4" Imprint up to 4 Names (3 Names plus Facility) To order ........ Click On "Add to Shopping Cart" 1,000 sheets ~ $181.00 plus shipping by UPS 2,000 sheets ~ $283.00 plus shipping by UPS 4,000 sheets ~ $490.00 plus shipping by UPS 8,000 sheets ~ $898.00 plus shipping by UPS

Add an Additional Level of Security with Tamper Evident Security Hologram Labels

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Thank You for your order for Secure California Prescription Forms.
We appreciate your business.
Your order will ship in approximately 10 to 12 business days.
Please allow up to 4 days for shipping by UPS.

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For additional information relative to SECURE PRESCRIPTION FORMS,
contact Micro Format, Inc.
Support@RxPaper.com

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Copyright © 2007-2009 Micro Format, Inc. ~ All Rights Reserved
Micro Format, Inc.
830-3 Seton Court ~ Wheeling, IL 60090
Phone: 847/520-4699 ~ 800-333-0549
Fax 847/520-0197