Schedule III, IV, & V Physician Telephone Orders
Stay compliant with forms from the name you trust!
Our new form meets the requirements now being enforced by the DEA. These regulations concern the Schedule III, IV, and V drug classes. Nurses will have to provide documentation stating they are acting as an agent of the physician.
- 3 part form with 2 detachable orders per sheet
- Part 3 is chart control copy and mount sheet in one
- Original order once signed is attached to part 3 using the pressure sensitive tape
- 125 forms per box
|Color:||White, Pink, Canary with Black and Red Ink|
|Size:||8-1/2" x 10-1/2" (Parts 1 & 2), 8-1/2" x 11-1/4" (Part 3)|
|Hole Punch:||5 holes on top and left side (Part 3)|
|Printed:||1 sided all printed differently|
|Quantity:||125 ea/bx (Also sold in a case of 8 bx/ca)|