Categories: Clinical Forms : Prescription Blanks
070293522_1D-1

Washington State Laser Prescription Blanks – 8-1/2" W x 11" H (Overall), 1000/Pkg

Patterson Office Supplies
Patterson Item #: 029-3522
Mfg Item #: VJO-PTC4-PAT3
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Specifications

Design Color:
Gray
Dimensions:
8-1/2" W x 11" H (overall)
Manufacturer Name:
PATTERSON OFFICE SUPPLIES
Material:
24 lb Security Paper
Package Quantity:
1,000/Pkg
Product Color:
White
Security Features:
  • The State of Washington requires the state seal be printed on every prescription form. Also built into the seal is an image of a mortar and pestle which is printed as a gray watermark.
  • Void Pantograph – The word "Void" appears when document is photocopied
  • Security features listed on face
  • Paper has a chemical coating which reacts with bleach or eradication solutions to prevent forgers from altering written copy. If bleach is applied to a sheet the paper turns brown or a chemical void feature appears to make prescription form unusable.
  • Security Prescription" watermark printed on back
Software Compatiblity:
Eaglesoft and most other softwares

Legend

Promotion
Auto Free Good
My Catalog
My Catalog (Rep)
On Formulary
On Contract
Prescription
Hazmat-Chargeable
Hazmat-No Charge
MSDS / SDS
Schedule 2 and 2N
Schedule 3, 3N, 4 and 5
List 1
No Freeze
Prices in Green indicate discounted price.