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Secure RX Pads & E-Prescribe Services

Beginning January 2022 all Prescribers by law must be set up with Electronic Rx Services and use them when possible. To sign up for our Electronic Rx Services please click the bold green link below.

Paper Rx may still be necessary in the event the electonic systems go down. To order paper rx forms please click the link below to download our form.

Sample Layouts

  • Regular Size - Single Name
    Regular Size - Single Name
  • Regular Size - Multi Name
    Regular Size - Multi Name

    (This secure Rx pad can be easily modified to only one prescriber. We can also use this layout for 1 Rx or 2 Rx.)

  • Large Size - Single Name
    Large Size - Single Name

    (This secure Rx pad can be easily modified for multi-users or for more than one Rx.)

  • Laser - Secure Rx
    Laser - Secure Rx

    (The secure Rx Laser sheet layouts can be easily modified to conform with the various medical record software forms.)

We have partnered with DAW SYSTEMS, INC. to offer you ScriptSure Cloud E-Prescribing software. This web-based application, called ScriptSure Cloud ERX, is fully HIPAA, DEA controlled prescribing and CA prescribing rules compliant.  SIGN UP NOW ($45/prescriber/month and $50/year/provider)