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Designed exclusively for labs to create consistency and maintain documentation requirements. 2-part form allows both the dentist and the lab to retain a copy. Sequential numbering available in red in the lower right corner for easy tracking and extra security. Call for details.
075-6049 11" W x 81 /2 " H Form
250 Sets/Pkg Each Pkg ......................075-6049
055-3446 51
/2" W x 81 /2 " H Form
250 Sets/Pkg Each Pkg .........................055-3446
1@ $35.95 2@ $25.95 4@ $18.95
1@ $42.95 2@ $37.95 4@ $33.75
Add sequential numbering for extra security and easy tracking!
Call for details.
Add your logo for a professional image
Create your own custom prescription blanks! CUSTOM PRESCRIPTION BLANKS
Custom printed prescription blanks can save you time and money. Let us help you design just the right prescription blank for your needs. Give us a call at 800.637.1140.
Pre-print commonly prescribed drugs
List multiple doctors for larger practices
Customize your blanks any way you want them
Contact your Patterson representative, local Patterson branch or call 800.637.1140