This site is designed for use by
DOCTORS, HEALTHCARE PROFESSIONALS and MEDICAL CLINICS
Proper documentation is required to order documents from this site.

Protect your medical prescriptions from unauthorized duplication with
High Security Prescription Pads
(Available 1 part and 2 part)

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

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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”

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Prescriptions can be consecutively numbered for an additional charge

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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.

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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

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New Secure GuardTM Self Expiring Visitor Badges

If you dispense Sample Medications ... You need the SecureGuardTM Sample Medication Label Recording System

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

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Advertising Specialties for the Medical Community Promotions4Rx

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