APPROVED FORMAT
MEDICAL SCRIPTS

Manufactured by Micro Format, Inc.
www.RxPaper.com/Springcharts
Micro Format, Inc. ~ 830-3 Seton Court ~ Wheeling IL 60090 ~ (800)333-0549

STATE APPROVED FORMATS
LASER MEDICAL SCRIPTS



Directory



Special Discount Prices for SpringchartsEMR Clients
To receive Special Prices, you must order from this web page


Sheet Size 5-1/2" x 8-1/2" ~~ 2 scripts per sheet
Perforated 4-1/4" from top edge
INDIANA

ENLARGE
Indiana Format

Item#RxEC503IN
Indiana Format
Prescription Paper
5-1/2" x 8-1/2"
1,000 sheets
$75.00
plus shipping by UPS

To Order

2,500 sheets
$175.50
plus shipping by UPS

To Order

5,000 sheets
$345.00
plus shipping by UPS

To Order

KENTUCKY

ENLARGE
Kentucky Format

Item#RxEC503KY
Kentucky Format
Prescription Paper
5-1/2" x 8-1/2"
1,000 sheets
$75.00
plus shipping by UPS

To Order

2,500 sheets
$175.50
plus shipping by UPS

To Order

5,000 sheets
$345.00
plus shipping by UPS

To Order

WEST VIRGINIA
Recommended
but optional


ENLARGE
West Virginia Format

Item#RxEC503WV
West Virginia
Prescription Paper
5-1/2" x 8-1/2"
1,000 sheets
$75.00
plus shipping by UPS

To Order

2,500 sheets
$175.50
plus shipping by UPS

To Order

5,000 sheets
$345.00
plus shipping by UPS

To Order

MAINE

ENLARGE
Maine Format

Item#RxEC503ME
Maine Format
Prescription Paper
5-1/2" x 8-1/2"
1,000 sheets
$75.00
plus shipping by UPS

To Order

2,500 sheets
$175.50
plus shipping by UPS

To Order

5,000 sheets
$345.00
plus shipping by UPS

To Order



E-Mail: Questions send us an e-mail ~ Support@4securitypaper.com
Copyright © 2004-2013 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