APPROVED FORMAT
MEDICAL SCRIPTS

Manufactured by Micro Format, Inc.
www.RxPaper.com/discus_dental

Table of Contents:
  • Standard Format Secure Script Paper
  • Option Two Secure Script Paper


    Florida Laser Prescription Paper
    Rx503-P4

    Sheet size: 8-1/2" x 11"

    Item# RX503-P4
    (perforated to yield 4 scripts when detached)


    Words "VOID" appear when photocopied.
    Additional security features listed below insure that scripts cannot be accurately duplicated.
    You can always identify the original from a copy.
    • Security Features Include:
      • Blue Security Background
        The word "VOID" appears when script is photocopied
      • Erasure Protection
        White Mark appears when erased
      • Ghostmark Security Mark on back of sheet
        When duplicated - Ghostmark not visible on copy
      • Production Batch Number
        This control number contains production information
      • Warning Box
        Security Features list in warning box on reverse side of script

    Warning Box appears in four positions on the reverse side of each sheet.

    Not approved for use in the States of New Jersey, Indiana, Kentucky, Maine
    This format is approved for use in the State of Florida.


  • Item# Blue Background FL-Rx503-P4
    8.5in. x 11in.
    (perforated to yield 4 scripts when detached)
    Click to Enlarge Rx503-P4
    Click to Enlarge FL-Rx503-P4 image

    Secure Tamper Resistant Laser Prescription Paper ~ 4 scripts per sheet
    1000 sheets per package
    $ 130.00 plus shipping by UPS


    1 carton (2,500 sheets per carton)
    $287.50 plus shipping by UPS


    2 cartons (2,500 sheets per carton)
    $275.00 per carton plus shipping by UPS



  • Return to Top
    Security Script - Option TWO

    Laser Format Prescription Paper Rx510
    click to enlarge
    click to enlarge

  • Sheet size: 8-1/2" x 11"
  • Full Horizontal Perforation 5-1/2" from top edge
  • Full Vertical Perforation 4-1/4" from left edge
  • ONE PRESCRIPTION per sheet

    Not approved for use in the States of New Jersey, Indiana, Kentucky, Maine
    This format is approved for use in the State of Florida.


  • Rx510 Secure Tamper Resistant Laser Prescription Paper

    FL-Rx510

    1000 sheets per package
    $ 130.00 plus shipping by UPS


    1 carton (2,500 sheets per carton)
    $287.50 plus shipping by UPS


    2 cartons (2,500 sheets per carton)
    $275.00 per carton plus shipping by UPS



    For additional information relative to SECURE PRESCRIPTION FORMS,
    contact Micro Format, Inc.
    Support@4securitypaper.com

    Copyright © 2011-2013 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