APPROVED LASER FORMAT
MEDICAL SCRIPTS for
Allscripts
Enterprise - TouchWorks

www.rxpaper.com/TouchWorks
Secure Laser Prescription ( Rx ) Paper
for Doctors, Healthcare Professionals & Medical Clinics


Secure LASER Prescription Paper - New Jersey Format

Micro Format, Inc. along with our Manufacturing Partner Printco
is an approved NJ Pharmacy Board Security Prescription Paper Printer

Micro Format Imprinted Laser Prescription Paper
meet all of the requirements legislated by the State of New Jersey.


Imprinting Information for New Jersey Laser Prescription Paper
and your Credit Card Payment Information will be requested
AFTER you have clicked on the "Add to Your SHOPPING CART" button

Due to State of New Jersey Regulations ~ Unimprinted forms are not available ~

When Requested,
Please accurately fill-in the information that needs to be imprinted on the top of each sheet.


New Jersey Laser Prescription Forms
Format #1 (MD,DO,DS,DMD,DPM,DVM)

Imprint up to 4 Names or 2 Names plus Facility Name
Each name must be imprinted with License # and NPI #

ENLARGE VIEW

Item# NJMD1
8-1/2" x 11"
One Script-Top Left
Script Size 4" x 5-1/2"

To order ........
Click On
"Add to Shopping Cart"


2,500 sheets
$479.00 plus shipping
by UPS

5,000 sheets
$715.00 plus shipping
by UPS

10,000 sheets
$1,177.00 plus shipping
by UPS


QUESTIONS: Please send us an e-mail
support@prescriptionpaper.com


Copyright © 2007-2013 Micro Format, Inc. ~ All Rights Reserved
Micro Format, Inc.
830-3 Seton Court ~ Wheeling, IL 60090
Phone: 847/520-4699 ~ 800-333-0549
Fax 847/520-0197


rev 07/2013