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