APPROVED FORMAT MEDICAL SCRIPTS Manufactured by Micro Format, Inc.

www.RxPaper.com/eClinicalWorks

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Stock Format Laser Prescription Paper for use in the State of Georgia Micro Format is a Georgia Rx Paper Products meet and exceed ALL Medicaid Requirements. Full details .... State of GEORGIA O.C.G.A. 26-4-80.1 December 2011 UPDATE July 2013 UPDATE While the only Georgia State Requirement is that Rx Scripts used in the State of Georgia must meet Medicaid requirements, using Georgia Scripts that meet previous regulations will insure the prescriptions you issue are unique, meet all security and Medicaid requirements, and are issued on paper that is ONLY AVAILABLE for purchase by those in the State of Georgia medical community. ALL Prescriptions for use in the State of Georgia must have a consecutive number

FULL SHEET Georgia State Tamper Resistant Laser Prescription Paper

• Sheet size: 8-1/2" x 11"
  
• 24# Security Paper
  
• For use in Laser AND Ink Jet Printers

Item# RX580
(Full Sheet)

Gray Background Georgia State Tamper Resistant Laser Rx Paper
All Georgia State SecureGuard Rx Paper Products meet and exceed Georgia State Requirements.

• Secure Guard^TM Tamper Resistant Laser Script Security Features Include:
  • Gray Security Background
    The word "VOID" appears when script is photocopied

  • Identifier Production Batch Number in the margin on the front of the sheet
    (Not shown on the image above>

  • Consecutive Number as required by Georgia Law in the upper left-hand corner of the sheet.
    (Not shown on the image above>

  • Erasure Protection
    White Mark appears when erased with ink eraser

  • Security Watermark on back of sheet
    Hold on 45 degree angle to light to view
    When duplicated - Artificial Watermark is not visible on copy

  • Coin activated Security on back of script
    Rub with coin to validate script
    

  • Security Feature Warning Box on back of sheet
    Security Features listed in warning box on reverse side of script

  • Reverse Rx
    Rx Symbol drops out when photocopied
    

  • Black Georgia Seal of Approval in the lower right-hand corner of scripts
    

  • Gray Rx SecureGuard border along edge of sheet

  • UV Security Watermark
    Invisible Images are visible when viewed under black light
    

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It is important to note that copier technology is ever changing.
Thus messages hidden on Document Security Paper will appear most of the time.
However messages cannot be guaranteed to appear 100% of the time
when used with all copiers or scanners.
FAQ ~ Frequently Asked Questions

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Item# RX580 (Full Sheet) Gray Background Georgia State Tamper Resistant Laser Rx Paper Item# RX580 1,000 sheets per carton - consecutively numbered $100.00 plus shipping by UPS Item# RX580 2,500 sheets per carton - consecutively numbered $225.00 plus shipping by UPS