Categories: Clinical Forms : Prescription Blanks
0187351_Laser_WY

Wyoming Laser Prescription Blanks – Personalized, 8-1/2" W x 11" H (Overall), 5-1/2" W x 4-1/4" H (Detached), 100/Pkg

Form
Patterson Office Supplies
Patterson Item #: 70187351
Mfg Item #: VJO-87351-PAT3
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Specifications

# of Parts:
1 part
Design Color:
Blue
Dimensions:
8-1/2" W x 11" H (overall)
Ink Color:
Black
Logo:
N
Manufacturer Name:
PATTERSON OFFICE SUPPLIES
Material:
20 lb White Impede Security Stock
Package Quantity:
100/Pkg
Product Color:
White
Security Features:
  • Printed on Appleton DocuCheck® Watermark paper
  • Light blue background resists reproduction
  • A latent, repetitive “void” pattern appears when photocopied
  • Background resists reproduction
  • Extended indicator stains display evidence of attempted alteration by washing or eradication
  • Erasure protection resists erasure and alterations
  • Heat-sensitive, thermo-chromatic ink bars
  • Security features printed on front and back of each blank
  • Repetitive watermark “SECURITY PRESCRIPTION BLANK” printed on the back can be read at a 45-degree angle
  • True Fourdrinier watermark provides simple visual authentication while effectively preventing paper duplication
  • Optional quantity check-off boxes
  • Optional batch numbering
  • Sequential numbering available on 1-part blanks and 2-part wraparound books. Call for pricing.
  • Visible fibers enable verification of paper authenticity under normal light
  • Invisible fibers can be seen with a black light
Software Compatiblity:
Eaglesoft and most other softwares

Legend

Promotion
Auto Free Good
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On Formulary
On Contract
Prescription
Hazmat-Chargeable
Hazmat-No Charge
MSDS / SDS
List 1
No Freeze
Prices in Green indicate discounted price.