ame="copyright" content="Copyright 1998-2014, Micro Format, Inc. ~ www.prescriptionpaper.com, All Rights Reserved.">
www.PrescriptionPaper.com www.RxPaper.com www.ScriptPaper.com |
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Before placing your order for FOUR per sheet Laser Scripts, confirm that your Medical Records Software has the ability to print on the New Jersey FOUR PER PAGE Laser Format paper. |
When Requested, Please accurately fill-in the information that needs to be imprinted on the top of each sheet.
NEW JERSEY LAW REQUIRES:
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IMPORTANT ORDER INFORMATION
New Jersey State Law requires that all Rx Paper Orders are shipped to the address on file with the State of New Jersey. After submitting your order - the Micro Format Compliance Department requires that you send a copy of your State License to our customer service department by FAX ~ FAX Number (847)520-0197 |
Format #1 (MD,DO,DS,DMD,DPM,DVM) Each name must be imprinted with License # and NPI # |
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ENLARGE VIEW
Item# NJMD1
To order ........
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
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ENLARGE VIEW Item# NJMD2
To order ........
5,000 sheets $550.00 plus shipping by UPS 10,000 sheets $798.00 plus shipping by UPS |
ENLARGE VIEW
Item# NJMD4
To order ........
2,500 sheets $534.00 plus shipping by UPS 5,000 sheets $770.00 plus shipping by UPS 10,000 sheets $1,232.00 plus shipping by UPS |
Use this format when ordering the Midwife Format; In comment section of order form note "Midwife" Item# NJNP Nurse Practitioner Script Size 4" x 5-1/2"
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ENLARGE VIEW
Item# NJNP1
To order ........
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
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Item# NJNP2
To order ........
5,000 sheets $550.00 plus shipping by UPS 10,000 sheets $798.00 plus shipping by UPS |
Item# NJNP4
To order ........
2,500 sheets $534.00 plus shipping by UPS 5,000 sheets $770.00 plus shipping by UPS 10,000 sheets $1,232.00 plus shipping by UPS
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PA Format (Physician Assistant) New Jersey law requires only ONE Physician Assistant's name per script with ONE Collaborative Physician's name. |
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ENLARGE VIEW
Item# NJPA1
To order ........
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
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Item# NJPA2
To order ........
5,000 sheets $550.00 plus shipping by UPS 10,000 sheets $798.00 plus shipping by UPS |
Item# NJPA4
To order ........
2,500 sheets $534.00 plus shipping by UPS 5,000 sheets $770.00 plus shipping by UPS 10,000 sheets $1,232.00 plus shipping by UPS
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Format #2 (MEDICAL FACILITY) on the front of the script. Additional locations may be printed on back of the script (at an additional charge). |
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ENLARGE VIEW
Item# NJHC1
8-1/2" x 11"
To order ........
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
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ENLARGE VIEW
Item# NJHC2
To order ........
5,000 sheets $550.00 plus shipping by UPS 10,000 sheets $798.00 plus shipping by UPS |
ENLARGE VIEW Item# NJHC4
To order ........
2,500 sheets $534.00 plus shipping by UPS 5,000 sheets $770.00 plus shipping by UPS 10,000 sheets $1,232.00 plus shipping by UPS |
Format #3 (OPTICIAN) Each name must be imprinted with License # and NPI # |
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ENLARGE VIEW Item# NJOP1
To order ........
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
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ENLARGE VIEW
Item# NJOP2
To order ........
5,000 sheets $550.00 plus shipping by UPS 10,000 sheets $798.00 plus shipping by UPS |
ENLARGE VIEW
Item# NJOP4
To order ........
2,500 sheets $534.00 plus shipping by UPS 5,000 sheets $770.00 plus shipping by UPS 10,000 sheets $1,232.00 plus shipping by UPS |