www.NewJerseyRxPaper.com
www.NewJerseyPrescriptionPaper.com

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  • Custom Imprinted
    Medical Prescription PADS
    for use in the State of New Jersey

    Nj Flag

    For NEW JERSEY prescription forms
    Micro Format is a distributor for PRINTCO, INC.
    PRINTCO is a New Jersey approved manufacturer for Prescription Pads and Laser Scripts.


    NEW JERSEY SCRIPT REGULATIONS UPDATE

    The state of New Jersey has made changes to their prescription form program.
    The changes will improve the security of all New Jersey Rx forms by adding security features to reduce fraud.

    Click for additional details.
    PLACE YOUR ORDER TODAY.


    PRINTCO Imprinted Prescription Pads
    meet all of the 2014 requirements legislated by the State of New Jersey.



    All Prescription Pad Orders MUST BE ENTERED ON LINE
    We cannot accept orders for prescription pads by Fax.
    =

    VERY IMPORTANT

    New Jersey State Law requires that all Rx Paper Orders are shipped to the address
    on file with the State of New Jersey.

    After submitting your order .....
    the Micro Format Compliance Department on behalf of Printco, Inc., requires that you
    send a copy of your State License to our customer service department by FAX
    FAX Number (847)520-0197

    Orders will be processed
    ONLY after we have received a copy of your State License by Fax.

    Failure to send your License will delay the production of your order.

    NOTICE
    WITHOUT EXCEPTION,
    Your order WILL NOT BE PROCESSED until your License has been received.

    It is for your protection.

    We appreciate your co-operation with this requirement.
    New Jersey State Law requires that Micro Format, on behalf of Printco, Inc., maintains on file the signature for each prescriber that appears on the script.
    If more than on prescriber appears, the RESPONSIBLE PRESCRIBER must be indicated.

    Please visit
    www.newjerseyrxpaper.com/FileSignature.pdf
    to obtain the required signature document.
    Please complete this document and send it by FAX to Micro Format, Inc.
    FAX# 847-520-0197


    Available Formats
    MD, DO, DS, DMD,
    DPM, DVM
    NJ Pads for MD
    click to enlarge

    Physician Assistant

    NJ Pads for PA
    click to enlarge


    Nurse Practitioner

    NJ Pads for NP
    click to enlarge


    Facility Format

    NJ Pads for Health Care Facility
    click to enlarge


    Midwife

    NJ Pads for Midwife
    click to enlarge


    Optometrist Format

    NJ Pads for Optometrist
    click to enlarge


    EyeWare

    NJ Pads for Eyeware
    click to enlarge



     
    ONE PART SCRIPT:
    Distinctive GREEN New Jersey background
    with required security features
    100 sheets per pad
    Click to Order 1 part scripts

    TWO PART SCRIPT:
    Part 1 has Distinctive GREEN New Jersey background with required security features
    Part 2 is a BLANK YELLOW sheet
    50 sets per pad with wrap-a-round cover
    Click to Order 2 part scripts


    QUESTIONS: Please send us an e-mail support@rxpaper.com

    Copyright © 2004- Micro Format, Inc., All Rights Reserved
    Micro Format, Inc.
    830-3 Seton Court ~ Wheeling, IL 60090
    Phone: 847/520-4699 ~ 800-333-0549
    Fax 847/520-0197


    rev 04/2014