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Page Size 8-1/2 x 11
Page Size 11 x 17
Thermal Continuous Forms
This prescription pad is 8-1/2 x 3-2/3 inches.
The format will fit eight lines of text, including the Practice Name, Five Providers and Two Address, Or any combination of the three.
This format is available as either a One-Part Script or a Two-Part Script: One-Part Pads have the secure prescription and contain 100 sheets per pad. Two-Part Pads have the secure prescription and a yellow carbonless copy. They contain 50 sets per pad and include a protective wrap-around cover.
Back Printing available for an additional charge if more space is needed for additional providers or addresses.
Each Providers License and DEA must be pre-printed on the prescription. Please include this information in the imprint section, when placing order.
20 Pads per Pack
$190.00 - $350.00