www.PrescriptionPaper.com
www.RxPaper.com
www.ScriptPaper.com
  • Contact Us
  • About Us
  • HighSecurityPaper.com

  • State of Georgia

    Custom Imprinted
    Tamper Resistant
    GEORGIA 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 State of Georgia and Medicaid Requirements.


    Micro Format 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 (House Bill 209)

    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.

    Georgia State Approved Format medical prescriptions pads
    (Available 1 part and 2 part)
    Georgia Pad - Click to enlarge
    Rx645

    NOTE: Part 2 is BLANK on two part scripts.
    For security .... Part 2 must never be mistaken as an original.

    Rx PadsTamper Resistant Rx Pads
    If you prefer not to use Georgia specific Rx Pads
    Micro Format Tamper Resistant Rx Pads meet and exceed all Medicaid Requirements.
    Georgia Rx Pads are approved for issuing Controlled Substance Prescriptions and "fraud proof" Medicaid Scripts.

    Micro Format Secure Rx Pads contain the following security features:

  • Georgia State Approved Seal
  • Product Lot Identification Number
  • Consecutive Number
  • Hidden Message Technology ~ "VOID" pantograph
  • Distinctive BLUE Colored Background
  • Blue background Erasure Protection
  • Security watermark on reverse side of prescription
  • Warning Band on face specifying security features


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


    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 below.

    ALL Prescriptions for Georgia are consecutively numbered

    SECURE Rx PAD PRICE LIST
    Rx645
    To ORDER - CLICK ON
    "Add to your Shopping Cart"

    Order 1 part Pads Below
    100 scripts per pad
    Order 2 part Pads Below
    50 sets per pad
    with wrap-around cover
    20 Pads
    one part
    WITH
    NUMBERING
    $9.05 per pad
    plus shipping
    Rx645
    Click to PURCHASE this item
    20 Pads
    two part
    WITH
    NUMBERING
    $11.34 per pad
    plus shipping
    Rx645
    Click to PURCHASE this item
    40 Pads
    one part
    WITH
    NUMBERING
    $7.10/pad

    Rx645
    Click to PURCHASE this item

    40 Pads
    two part
    WITH
    NUMBERING
    $9.79/pad

    Rx645
    Click to PURCHASE this item

    80 Pads
    one part
    WITH
    NUMBERING
    $5.25/pad

    Rx645
    Click to PURCHASE this item

    80 Pads
    two part
    WITH
    NUMBERING
    $7.23/pad

    Rx645
    Click to PURCHASE this item

    160 Pads
    one part
    WITH
    NUMBERING
    $4.50/pad

    Rx645
    Click to PURCHASE this item

    160 Pads
    two part
    WITH
    NUMBERING
    $5.94/pad

    Rx645
    Click to PURCHASE this item


    Under our licensing agreement, all orders for Document Security Paper are reviewed and the information provided is confirmed by our Document Security Compliance Team.
    The use of Script Paper is controlled by Federal and State Agencies. Any attempt to purchase script documents by unauthorized persons or by persons providing falsified information will be reported to the proper authorities for prosecution to the full extent of the law.

    Acceptance of any and all orders for Document Security Paper is at the discretion of the Micro Format Document Security Compliance Team.


    It is important to note that copier technology is ever changing. Thus messages hidden on all Document Security Paper, including Secure Prescription Paper, will appear most of the time. However "hidden VOID messages" cannot be guaranteed to appear 100% of the time when used with all copiers or scanners.



    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

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

    Security Hologram Labels

    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 © 2000- 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 2/15