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    • |~LASER Rx Paper~|~ Medical Statements and Envelopes~|~Patient Sign-In Logs~|
    Custom Imprinted
    Tamper Resistant

    WYOMING PRESCRIPTION PADS
    Effective January 2007, Secure Prescription Forms
    must be purchase from a Wyoming State approved printer.

    Micro Format, Inc. is a Wyoming State Pharmacy Board
    "approved printer" for Secure Prescription Paper Products.

    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
    Secure Laser Prescription ( Rx ) Paper
    for Doctors, Healthcare Professionals & Medical Clinics

    Micro Format Tamper Resistant Laser Prescription Paper
    meet and exceed all 2008 Medicaid Requirements

    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”

    Prescriptions can be consecutively numbered for an additional charge
    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.
    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
    New
    Secure GuardTM Self Expiring Visitor Badges
    Self Expiring Visitor Badges
    If you dispense Sample Medications ...
    You need the SecureGuardTM
    Sample Medication Label Recording System

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

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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