Medical Forms, Health Insurance Claim Forms, CMS1500, UB92, Hospital Claim Forms

Prescriptions-California Controlled

Prescriptions-California Controlled

Prescriptions-California Controlled:
Valid for C-2 thru C-5 medications.

Choose from 2 Styles:
1) Multiple Prescriptions allowed.
2) Up to 3 Prescriptions per script.

Printed Landscape on 5-1/2" x 4-1/4"
The 1 Part is 100/Pad & the 2 Part is 50/Pad
Consecutively Numbered 001 & up.

After placing your order, please be sure to fill out the online information form, print out and fax to (973) 252-1885. Reference the order number assigned.


View Sample
PDF
CA Controlled Scripts-1 Part

View Sample
PDF
CA Controlled Scripts-2 Part

Data Business Systems
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