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MED-PASS:  The Fine Art of Document Design

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Physicians Order/Medication Record - 750/ctn


Availability: In stock

Price: $86.40
  • Buy 8-14 for $84.00 each and save 3%
  • Buy 15 or more for $79.80 each and save 8%

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Order Reminder Program

Popular among facilities and pharmacies alike, this style of form requires only one pass through the printer and eliminates a check for facilities. Also good for facility use as an interim medical record.

MED-PASS stocks a wide variety of LTC pharmacy medical records compatible with most major software systems. A complete listing of software compatible medical records for each software system can be found 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.
  • Combines a 2 part physicians order with a medication record
  • The POF utilizes high quality 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 8-3/4 x 11
Unit Carton of 750
Orientation Vertical
Other Info Continuous
Number of carbonless parts 3
Paper Sequence wht/can/wht paper
Hole Punch 5 holes left, 5 holes top

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