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  • |~LASER Rx Paper~|~ Medical Statements and Envelopes~|~Patient Sign-In Logs~|

    Custom Imprinted
    Tamper Resistant

    ALASKA PRESCRIPTION PADS


    This site is designed for use by
    DOCTORS, HEALTHCARE PROFESSIONALS and MEDICAL CLINICS

    Proper documentation is required to order documents from this site.
    Tamper Resistant Rx PADS for DOCTORS and MEDICAL CLINICS
    Micro Format Tamper Resistant Rx Pads meet and exceed all Medicaid Requirements
    and the March 15, 2008 changes to the Alaska Department of Health and Social Services Drug Reimbursement Prograqm

    Click to read Alaska requirementsAlaska Department of Health and Social Services Drug Reimbursement Prograqm
    Protect your medical prescriptions from unauthorized duplication with
    High Security Prescription Pads
    (Available 1 part and 2 part)

    Click to Enlarge


    All Prescription Pad Orders MUST BE ENTERED ON LINE
    We cannot accept orders for prescription pads by Fax. =


      TWO FORMATS AVAILABLE.

    1. Format Rx610
      is designed for use when prescribing MORE THAN ONE MEDICATION.

    2. Format Rx620 (shown above)
      includes the following text at the bottom of the script.
      "PRESCRIPTION IS VOID IF MORE THAN ONE (1) PRESCRIPTION IS WRITTEN PER PAGE"


    All Alaska Rx Pads contain a consecutive number.

    Back Printing is available at an additional $5.00 per pad
    This amount will be added when your order is processed.
    This additional charge for back printing will not be shown
    at the time you place your order. However it will be added
    to the total cost of your order.
    Click to read Alaska requirementsAlaska Department of Health and Social Services Drug Reimbursement Prograqm

    ONE PART SCRIPT:
    Distinctive BLUE security background
    100 sheets per pad
    Click to Order 1 part scripts

    TWO PART SCRIPT:
    Part 1 has Distinctive BLUE security background
    Part 2 is a BLANK YELLOW sheet
    50 sets per pad with wrap-a-round cover
    Click to Order 2 part scripts



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

    Security Hologram Labels

    Ultrasound Thermal Printer Paper

    SecureGuardtm Maxwell Ultrasound Paper
    for use in hospitals, clinics, OB offices and others.
    Compatible ultrasound paper for use in Sony and Mitsubishi Ultrasound equipment

    If you dispense Sample Medications ...
    You need the SecureGuard™

    Sample Medication Label Recording System
    SAMPLE MEDICATION Recording System

    Meets Federal and State Regulations.
    SELF EXPIRING LABELS, VISITOR and NAME BADGES

    To activate Secure Name Badge

    Visitor Badge with journal

    Self Expiring Visitor Name Badge
    with Record Copy

    PATIENT SIGN-IN LOGS

    Spanish Patient Sign-In Form
    SecureGuard™Patient
    Sign-In Form

    Each "Sign-In Log" includes 20 sign-in label strips


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


    Copyright © 2001 - 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

    rev 02/15