Medical Forms, Health Insurance Claim Forms, CMS1500, UB92, Hospital Claim Forms

Prescriptions - New Jersey EMR Laser

Prescriptions - New Jersey EMR Laser


Data Business Systems is an approved printer of the new format for the State of New Jersey.

NJ list of approved vendors

Laser / Desk jet Formats:
8.5" x 11", 1 Part with Script located top center or top left position.

We carry the following formats:
For: MD, DO, DDS, DMD, DPM, DVM - Top Center
For: MD, DO, DDS, DMD, DPM, DVM - Top Left
Nurse Practitioner - Top Center
Nurse Practitioner - Top Left
Physician Assistant - Top Center
Physician Assistant - Top Left
Healthcare Facility - Top Center

Please fax a copy of your existing script or required heading information to (973) 252-1885.

State law requires that all scripts be printed with practice information, License Number and National Provider Identification Number and a 15 digit bar-code.

This site is designed for use by:
DOCTORS, HEALTHCARE PROFESSIONALS and MEDICAL CLINICS.
medical-forms.com reserves the right to ask for Proper documentation and authorization to order scripts.


Laser Format-
Data Business Systems
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© 2016 - 2024 Data Business Systems, Inc. · 230 Route 206 South #301 · Flanders, NJ 07836 · (973) 252-1236 · Fax (973) 252-1885