Dental Health 2016 Catalog

646

Having trouble locating a product? Visit us at

www.dhpionline.com

to shop from our full dental supply online store.

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FORMS

FORM #3373

Excuse Slips and Prescription Pads

Concerned over the problems associated with counterfeiting and forgery of prescription forms? Did you know that

several state health agencies now 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.

Hidden VOID image.

Excuse Pads

Contains: 3 pads of 50 sheets per pad.

Prescription Pads

Contains: 5 pads of 50 sheets per pad.

* Call for pricing.

Front

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

Family Dental Center

444 South Monroe

Fremont, Wisconsin 54222

555-222-0000

EXCUSE SLIPS AND PRESCRIPTION PADS

Printed on

security

watermark paper to

prevent fraud