1 Part CMS Prescription Pads Size 4 ¼” x 5 ½” (Prescription Forms)
1 Part Security Pad
CMS Prescription Pads
Large - Size 5 ½” x 8 ½”
Blue or Green
12 Pads = 1,200 Scripts
24 Pads = 2,400 Scripts
48 Pads = 4,800 Scripts
96 Pads = 9,600 Scripts
6 security features
Warning: Absence of the Following Security Features May Indicate Alteration.
1. Tamper resistant background ink shows attempts to alter script.
2. Penetrating ink is used to prevent chemical “lifting” of information.
3. High security watermark on back side, which cannot be copied and can only be seen at 45o angle, is coin-reactive and changes color when scratched with a coin.
4. Each sheet is sequentially numbered for record keeping. (Not applicable with Laser sheets)
5. Security pantograph prints “VOID” on front when duplicated.
6. Thermochromatic ink on the front side. The word “SECURE” will fade away and reappear.
• Security Features on this document exceed CMS guidelines
Under our licensing agreement, all orders for Document Security Paper are reviewed and the information provided is confirmed by our Document Security Compliance Team.
Acceptance of any and all orders for Document Security Paper is at the discretion of the KwikTickets.com Document Security Compliance Team.