Dental Health 2018 Catalog

EXCUSE AND PRESCRIPTION PADS

We can customize your prescription pads. Contact your DHPI Account Manager for details .

Family Dental Center 444 South Monroe Fremont, Wisconsin 54222 555-222-0000

FORMS

FORM #3373

Front

Front

Excuse Slips and Prescription Pads Concerned over the problems associated with counterfeiting and forgery of prescription forms? Several state health agencies outline specific guidelines for issuance of prescription forms for Schedule II controlled substances. 4-1/4" x 5-1/2", 50# blue offset copy proof paper. Excuse Pads Contains: 3 pads of 50 sheets per pad. 792-3373* Prescription Pads Contains: 5 pads of 50 sheets per pad. 792-NOTEPAD*

Printed on security watermark paper to prevent fraud

* Call for pricing.

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