Print an Rx Form

Printable Rx Form

Run out of Rx Forms? Download your Digital Scan Lab Rx Form here and send your case today.

Don’t forget to Request Supplies to get more Rx Pads, Boxes, and Shipping Labels (or bags if within courier range).

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RX Form

rx-form.pdf

Review Our Fee Schedule

When you send your first case, your rate will remain inflation-proof until at least 2024 – guaranteed!

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Apr_2024_Fee_Schedule.pdf