2-Part Laboratory Prescription Forms - Patterson Office Supplies

Designed exclusively for labs to create consistency and maintain documentation requirements.
  • 2-part form allows both the dentist and the lab to retain a copy.
  • Sequential numbering available in red in the lower right corner for easy tracking and extra security. Call 800.637.1140 for details.
Title/Description
Patterson Item #
Mfg Item #
Price
Qty
2-Part Laboratory Prescription Forms, 11" W x 8-1/2" H Form, 250 Sets/pkg
2-Part Laboratory Prescription Forms, 5-1/2" W x 8-1/2" H Form, 250 Sets/Pkg
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Promotion
Auto Free Good
Advantage Promotion
My Catalog
My Catalog (Rep)
On Formulary
Prescription
Hazmat-Chargeable
Hazmat-No Charge
MSDS / SDS
Additional Information
Schedule 2 and 2N
Schedule 3, 3N, 4 and 5
List 1
Prices in Green indicate discounted price.