Description
Use the Medicaid-Compliant High-Security Perforated Laser Prescription Forms to provide your patients with a physical copy of their prescriptions when leaving your office. The security features help protect against tampering, altering or copying.
- Print patient prescriptions, so they have a physical copy when leaving your office.
- Laser sheet design for ease of use.
- Designed to exceed state and federal guidelines. Check to ensure the sheets comply with your specific state guidelines prior to ordering.
- Security features help protect your business and defend against copying, altering or tampering.
- Medicaid-compliant design.
- Each prescription form measures 8-1/2″ x 5-1/2″.
- 2-up design provides 2 prescription forms per sheet. 1,000 sheets provides you with 2,000 prescription forms.
Product Specifications
| Item # | 5975811 |
| Manufacturer # | PRESLGN21000 |
| Color (Ink) | Green |
| sheet size | Letter (8-1/2″ x 11″) |
| number of parts | 1 |
| double sided | Yes |
| acid free | Yes |
| quantity | 1000 |
| brand name | Taylor Corporation |
| manufacturer | TAYLOR CORP |





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