Prescription Pad Printing

Union Press Printing is an approved vendor by the State of Delaware's Division of Professional Regulation, and our security prescription products meet or exceed all requirements.

Pads come with 50 sheets / scripts. All orders must be accompanied by your state-issued Security Number (assigned to all approved prescribers), and must be shipped or delivered to the address listed with DPR.

Secure Rx Pads contain the following security features:

  • 24# Defensa Design Safety Paper
  • Print Lock Toner Grip
  • Hidden Message Technology ~ "VOID" pantograph
  • Distinctive BLUE Colored Background
  • Blue background Erasure Protection
  • Security watermark on reverse side of prescription
  • Unique Production Batch Number
  • Consecutive Number as required by law
  • Delaware Security Artificial Watermark
  • Security Warning Information specifying security features

New laws relative to Medical Prescription Paper take effect in the State of Delaware March 1, 2012.

Pricing

4 1/4 x 5 1/2 printed black ink and consecutive number on new tamper proof prescription paper:

1 part forms (100 sheets per pad)
10 pads - $11.00 per pad
20 pads - $8.50 per pad
50 pads - $6.20 per pad
100 pads - $5.60 per pad

2 part forms (50 sets per pad)
10 pads - $18.00 per pad
20 pads - $15.00 per pad
50 pads - $10.00 per pad

Layout - $10.00

Back Printing is available at an additional $5.00 per pad.

This amount will be added when your order is processed.

This additional charge for back printing will not be shown at the time you place your order below.



Order Form

This order form is designed for use by DOCTORS, HEALTH CARE PROFESSIONALS and MEDICAL CLINICS. Proper documentation is required to order documents from this web site. The use of Script Paper is controlled by Federal and State Agencies. Any attempt to purchase script documents by unauthorized persons or by persons providing falsified information will be reported to the proper authorities for prosecution to the full extent of the law.

Name *
Email *
Security Code

SCRIPT IMPRINTING INFORMATION

Please fill-in the information that needs to be imprinted on the top of each script.
Un-imprinted scripts are not available.

It is VERY IMPORTANT that you fill-in the information below carefully.
This is the information we will use to imprint your scripts.
You are responsible to make sure that all numbers that are to be printed on
your scripts (DEA# and License #) are entered correctly.
All information will be printed exactly as specified below.

Suggested Format:

Practice Name
Doctor's Name, M.D.
Street Address
City, State, Zip Code
Tel: xxx-xxx-xxxx Fax: xxx-xxx-xxxx
(optional)Lic#, DEA#

Enter Prescription Imprinting Information HERE.
Please indicate ALL of the information you want imprinted on your scripts.
Include all numbers - License Number, NPI# ~ DEA# ~ DPS#
Enter Prescription Imprinting Information HERE.

Please indicate ALL of the information you want imprinted on your scripts.
Include all numbers - License Number, NPI# ~ DEA# ~ DPS# *
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