Medical Arts Press® Washington Laser Prescription Forms; Non Personalized
Medical Arts Press® Washington Laser Prescription Forms; Non Personalized
Item #:
901-26536
Model #:
PRES1L-WA-BK
Brand:
Medical Arts Press
Not yet rated. Be the first to
Write a review!
Loading...
Restricted access
We apologize for the inconvenience. This is a state-regulated Rx blank and can only be processed by a Quill representative. E-mail, fax or mail orders are accepted.
Please Call To Place Order
To follow medical ordering process, you must call 800-634-0321800-634-0321 to place your order.
Description
- Security Features Include: VOID pantograph, thermochromic ink, state seal in lower right-hand corner, microprint signature line and a watermark in opaque ink.
Specifications
# Up Per Sheet/Page
1
Binding Type
None
Brand
Medical Arts Press
Carbonless
No
Color
White
Customizable
Yes
Form Size
5-1/2x4-1/4"
Form Type
Clinical
Format
Laser Tax Cut Sheet
Holes Punched
None
Lines
No Lines
Media Quantity
500
NCR Paper
No
Number of Parts
1
Numbered
No
Package Quantity
500
Personalization
No
Security Features
Yes
Sheet Size
11" x 8 -1/2"