Presstime

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2 part RX Wraparound Cover OPTION (add $1 per pad)

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4.25 x 5.5 CA RX Pads (Multiple Names / Multiple Addresses)

Multiple Providers & Addresses on One Rx Form
--see other products for single name / address.

California approved for controlled substance prescriptions.
Customizable to meet your needs.

Contains all required CA DOJ security features
Bar code and sequential number
CA DOJ approved format/wording
Choice of standard (1 line Rx) or plus (3 line Rx) formats.
Choice of 1-part or 2-part (with carbonless copy).
Available with optional wraparound cover.
Custom Designs Available--Call for Details

During checkout, please upload an Excel or Word file with the following information.
Be sure all infomation you provide is as you want it to appear on the pad:

Provider Names
DEA and License Numbers
NPI Numbers (if desired)
Addresses
Phone / Fax Numbers

Proofs will be provided in your account for approval. Be sure to view the proof.
Proof approval MUST be received before your order can proceed to printing.

CA law requires orders ONLY be shipped to the address of record on the DEA or Board License.
No exceptions can be made. This is required by CA prescription law.