New Jersey Physician Assistant Pad

Print Page
Share Page
NJ_PA_1120X880
Enlarge
NJ_PA_1120X880
  • NJ_PA_1120X880
  • NJPA2PT
 
  • NJ_PA_1120X880
  • NJPA2PT
  • This prescription pad is 4 x 5-1/2 inches.
  • New Jersey law requires only ONE Physician Assistant's name per script with ONE Supervising Physician's name. Both the Physician Assistant's name and information plus the Supervising Physician's name and information must be pre-printed on script.
  • This format is available as either a One-Part Script or a Two-Part Script: One-Part Pads have the secure prescription and contain 100 sheets per pad. Two-Part Pads have the secure prescription and a blank yellow carbonless copy. They contain 50 sets per pad and include a protective wrap-around cover.
  • Back Printing available for an additional charge if additional addresses are desired.
  • All prescriptions in New Jersey must be consecutively number, please select YES in the CONSECUTIVE NUMBERING box when asked.
  • 8 Pads per Pack
  • PLEASE NOTE: Two-part pad orders start at 16 pads!
Imprint
TOTAL $180.00 - $400.00
Close