Washington State Prescription Blanks – 2 Part, Second Part Blank, 5-1/2" W x 4-1/4" H, 100 Sets/Pad, 10 Pads/Pkg - Washington State Prescription Blanks – 2 Part, Second Part Blank, 5-1/2" W x 4-1/4" H, 100 Sets/Pad, 10 Pads/Pkg

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# of Parts: 2 part, Design Color: Gray, Dimensions: 5-1/2&#34; W x 4-1/4&#34; H, Ink Color: Black, Logo: N, Manufacturer Name: PATTERSON OFFICE SUPPLIES, Material: Two-Part Carbonless stock; First part – 26 lb white security paper CB, Second Part – 20 lb yellow CF, Package Quantity: 100 Sets/Pad; 10 Pads/Pkg, Product Color: White, Security Features: <ul><li>The State of Washington requires the state seal be printed on every prescription form. Also built into the seal is an image of a mortar and pestle which is printed as a gray watermark.</li> <li>Void Pantograph – The word "Void" appears when document is photocopied</li> <li>Security features listed on face </li> <li>2 signature lines – one for "Dispense as written" and one for "Substitution permitted"</li> <li>Quantity check off boxes (optional)</li> <li>Paper has a chemical coating which reacts with bleach or eradication solutions to prevent forgers from altering written copy. If bleach is applied to a sheet the paper turns brown or a chemical void feature appears to make prescription form unusable.</li> <li>Security Prescription" watermark printed on back</li> <li>Microprint signature lines</li> <li>A choice of either " Prescription is void if more than one controlled substance prescription is written per blank" or "___ Prescription is void if the number of drugs prescribed is not noted". This feature keeps patients from adding an additional prescription to a prescription form after it has been written by a physician.</li></ul>

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