Once completed, fax form to 530-221-7574 along with your current DEA Certificate or you can email the form to firstname.lastname@example.org
Our prices for secure Rx pads are on the order form.
For custom pad and secure Rx laser sheet pricing call us at (530) 221-0400.
Our secure Rx pads and secure Rx laser sheets fully comply with all current California Regulations.
(This secure Rx pad can be easily modified to only one prescriber. We can also use this layout for 1 Rx or 2 Rx.)
(This secure Rx pad can be easily modified for multi-users or for more than one Rx.)
(The secure Rx Laser sheet layouts can be easily modified to conform with the various medical record software forms.)