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MED-PASS:  The Fine Art of Document Design

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Physician's Orders/Medication Record - Laser - 500/ctn


Availability: In stock

Price: $84.25
  • Buy 8-14 for $81.25 each and save 4%
  • Buy 15 or more for $79.25 each and save 6%

Also available – 4-part version item # MP7514L

Request a free sample. Click here.


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Order Reminder Program


Popular among facilities and pharmacies alike. A single pass through the laser printer provides the physician‘s orders and corresponding medication record eliminating a check for the care facility. Also good for facility use as an interim medical record.


MED-PASS laser compatible PF/MR forms use a heavier weight paper stock for the MR portion.  The heavier weight paper is preferred by nursing staff because it is more durable, can stand up to 31 days of charting and is less likely to tear out of the chart.


MED-PASS stocks a wide variety of LTC pharmacy medical records compatible with most major software systems. To determine the software compatibility of a form:

  • Type the name of the software system in the Search box.

  • View a complete listing of software compatible medical records for each software system on the Pharmacy Product page under Medical Record Types.

  • If you need assistance confirming the compatibility of this or any other form with your software system, call or email MED-PASS.

  • Customers report the highest rate of success running multi-part laser records like MP7513L using an HP Printer. Click here to see HP OEM and Remanufactured Printer Toner Cartridges.

    • Combines a 2 part physicians order with a medication record
    • The POF utilizes high quality laser printer compatible carbonless paper, the MR is on durable ledger stock
    • Pre-punched for use in common facility charts/binders
    • Unique static bar codes added to parts 1 and 2 (POF) and part 3 (MR) that allows the POF and MR to be routed to different assigned work stations within the pharmacy using the Integra DocuTrack system for electronic document management
    • Click on "more information" link beneath the image at left to view the form
    Size 8-1/2 x 11
    Unit Carton of 500
    Orientation Vertical
    Other Info Laser Printer Compatible
    Number of carbonless parts 3
    Paper Sequence wht/can/wht paper - face down (reverse collated)
    Hole Punch 5 holes left, 5 holes top

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