Categories: Clinical Forms : Prescription Blanks
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Tamper-Resistant Prescription Blanks, 1 Part, Personalized, 5-1/2" x 4-1/4", 100 Sheets/Pad; 5 Pads/Pkg. - Patterson Office Supplies

Available in 1 part, 2 part or 2 part wraparound book, all printed on Appleton DocuCheck® Watermark paper. Personalization printed in black ink.

  • A latent, repetitive “void” pattern appears when photocopied
  • Background resists reproduction
  • Microscopic signature lines
  • Extended indicator stains display evidence of attempted alteration by washing or eradication
  • Erasure protection resists erasure and alterations
  • Heat-sensitive, thermo-chromatic ink bars
  • Security features printed on each blank
  • Repetitive watermark “SECURITY PRESCRIPTION BLANK” printed on the back can be read at a 45° angle
  • True Fourdrinier watermark provides simple visual authentication while effectively preventing paper duplication
  • Optional quantity check-off boxes
  • Sequential numbering available. Call for pricing
  • Visible fibers enable verification of paper authenticity under normal light
  • Invisible fibers can be seen with a black light
  • These tamper-resistant prescription blanks meet CMS guidelines in accordance with Section 7002(b) of P.L. 110-28, Troop Readiness, Veterans' Care, Katrina Recovery and Iraq Accountability Appropriations Act
  • Available in 1 part, 2 part or 2 part wraparound book
  • Printed in black ink
  • Available in horizontal or vertical format
  • Choice of 3 layout
Only one item can be personalized at a time. Please update your selection to one item.
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Prescription
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