Secure Guard Papers
www.PrescriptionPaper.com
www.RxPaper.com
www.ScriptPaper.com
TAMPER RESISTANT
Secure Laser Prescription ( Rx ) Paper
for Doctors, Healthcare Professionals & Medical Clinics

Micro Format Tamper Resistant Laser Prescription Paper
meet and exceed ALL Medicaid Requirements

New
Secure GuardTM
Self Expiring
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Rx503 Tamper Resistant Laser Script Paper
Rx503
8-1/2" x 11" full sheet
Tamper Resistant script

Laser Script Rx503 front
Front

Laser Script Rx503 back
Back

Rx503
Tamper Resistant Laser Rx Paper
is available in many different formats
Additional Approved Laser Rx Paper Formats
Rx510
Laser Script

8-1/2" x 11"
with script in top left-hand corner


Rx510
Laser Rx Paper

Detached script size
4-1/4" x 5-1/2"

Rx505
Laser Script

8-1/2" x 11"
with script in top half of sheet


Rx505
Laser Rx Paper

Detached script size
5-1/2" x 8-1/2"

RxEC503
Laser Script

5-1/2" x 8-1/2" sheet
2 scripts per sheet over/under

Tamper Resistant Laser Rx Paper

RxEC503
Laser Rx Paper

Detached script size
5-1/2" x 4-1/4"

If you would rather print a Fax Order Form
to send in your order by fax
Click HERE for
Laser Prescription FAX ORDER FORM
Our Fax Number is (847)520-0197
For additional information relative to SECURE PRESCRIPTION FORMS,
contact Micro Format at
mailbox Support@4securitypaper.com
USA flag - Micro Format, Inc. Micro Format, Inc. is a veteran owned company.
Micro Format SecureGuard Paper Products are manufactured in the USA from American Made materials.

Copyright © 2000-2012 inclusive
Micro Format, Inc 
All Rights Reserved 
Micro Format, Inc. 
830-3 Seton Court ~ Wheeling, IL 60090 
847/520-4699 FAX 847/520-0197
800-333-0549