Physicians Telephone Orders Form
Features three individual snap-out-style telephone orders per 8 1/2" x 11" page with an 8 1/2" x 11" mount sheet attached. Routing is as follows:
· ORIGINAL COPY - Physician Please Sign and Return
· PHARMACY COPY - Send to Pharmacy
· CHART CONTROL COPY - Attach Original Signed Copy When Received
All detachable parts are perforated between the three telephone order forms for easy individual removal.
Ask your representative today about custom imprinting this form. A quick, easy, and affordable service to personalize your form and improve efficiency!
Each slip measures 8 1/2" x 3 1/4", printed in black and red ink on carbonless paper, white original, color-coded copies and canary mount sheets, 5 holes punched top and left, packaged in 125s.