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Prescription / Sample Med Reports

585 T2T Sample Med Record System Document your sample meds in one-third of the time! SIZE: 1 1/2" wide by 3 9/16" long ("Wide Double")

"Most organizations use a simple manual system for the control and accountability of drug samples that is inexpensive and easy to use." -- Joint Commission on Accreditation of Healthcare Organizations (JCAHO) Our exclusive 3-part "form-on-a-label" saves you hours and keeps your critical information where it belongs. One writing gives you a record in three places: (1) on the sample itself, (2) as a separate log for your office, and (3) in the patient's chart.

Give written instructions to your patient. Green-bordered label affixes right to the medication sample so your directions won't get lost or forgotten, which means fewer phone calls!		Keep a separate record of all sample meds together. Pre-punched duplicate log sheet slips easily into a 3-ring binder. Just what you need in case a drug is recalled.
Update your patient's file. Purple-bordered label affixes to the chart. You know exactly what you gave and what you told your patient without having to write it again.

Sets of 3 parts ($219 per box - handles 1,400 medication samples)
     (2 sheets of labels and 1 duplicate log)

Select one format   
Sheets (standard box of 100 sheets)
Wire Binding (add $20 per box)

Imprint facility name, address, and/or normal values?   
Yes - contact me for this information ($40 one-time design charge)
No - print as shown, no changes

Clipboard
Do you want to order our sturdy aluminum Clipboard for best duplication results?
Yes -- add $29     No
(The clip will be green to match the green-bordered label, unless you Contact Us to specify otherwise.)

Binder
Do you want to order a 3-Ring Binder for storing your sample med duplicate record sheets?
Yes -- add $16     No


Contact us for a free consultation on customizing
MediTape Reports to fit your exact needs.