Verbal Prescription Pad Template
This template for verbal prescriptions contains the most pertinent information you need for documenting Rx's.
Page 1 contains an actual size (4 to a page) so you can make copies and cut them up.
Page 2 contains a full size template that you can send to a print shop so they can make Rx pads.
Usage Rights and Disclaimer
Each download allows for the copy and use of the form for one pharmacy permit.
NOTE: This form is intended as an aid only and Pharmacy Compliance Specialists, LLC, shall not be held liable for damages resulting from the use or misuse of this product.