DENTRIX compatible
Secure Laser Rx Paper

Manufactured by Micro Format, Inc.
www.dentrix.RxPaper.com

WELCOME
Micro Format, Inc. is pleased to offer DENTRIX System
"approved format" Software Compatible Medical Scripts.
for use in the State of Washington.

Micro Format is a Washington State Approved provider for Rx Paper Products.
With corporate offices located in Chicago Illinois, Micro Format provides document security paper products worldwide.
Micro Format manufactures Medical Prescription Paper using the latest technologies to
prevent accurate unauthorized document duplication using a photocopier or scanner.


Washington State Tamper Resistant Laser Prescription Paper
Meets and Exceeds ALL Washington State and Medicaid Requirements

IMPORTANT NOTE:
Dentrix Software prints only ONE SCRIPT per page ...
Top Left-hand corner of the sheet.


Item# RX506-P2
(Perforated in Half)

Gray Background
Washington State
Tamper Resistant
Laser Rx Paper

Dentrix Software prints only ONE SCRIPT per page
Top Left-hand corner of the sheet.
Rx506-P2

Item# RX506-P2
500 sheets per package
$ 70.00 plus shipping by UPS


1000 sheets per package
$ 90.00 plus shipping by UPS


1 carton (2,500 sheets per carton)
$212.50 plus shipping by UPS


2 cartons (2,500 sheets per carton)
$200.00 per carton plus shipping by UPS


Item# RX506-P4
Portrait
(Perforated in Quarters)

Gray Background
Washington State
Tamper Resistant
Laser Rx Paper

Dentrix Software prints only ONE SCRIPT per page
Top Left-hand corner of the sheet.
Laser Prescription Rx506

Item# RX506-P4
500 sheets per package
$ 70.00 plus shipping by UPS


1000 sheets per package
$ 90.00 plus shipping by UPS


1 carton (2,500 sheets per carton)
$212.50 plus shipping by UPS


2 cartons (2,500 sheets per carton)
$200.00 per carton plus shipping by UPS


Item# RX506-P5
perforated
(Landscape Script Top Left Corner)

Gray Background
Washington State
Tamper Resistant
Laser Rx Paper

Laser Prescription Rx506-P5

Item# RX506-P5
500 sheets per package
$ 70.00 plus shipping by UPS


1000 sheets per package
$ 90.00 plus shipping by UPS


1 carton (2,500 sheets per carton)
$212.50 plus shipping by UPS


2 cartons (2,500 sheets per carton)
$200.00 per carton plus shipping by UPS


For additional information relative to SECURITY PRESCRIPTION FORMS,
contact Micro Format, Inc.

Support@RxPaper.com


Copyright © 2010 Micro Format, Inc 
All Rights Reserved 
Micro Format, Inc. 
830-3 Seton Court ~ Wheeling, IL 60090 
847/520-4699 FAX 847/520-0197
800-333-0549