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24 HOUR RUSH 

SERVICE AVAILABLE

3

Free proofs with new orders or reorders with changes!*

*There will be an additional $10.00 charge for any requested change to standard layout.

We can print an often prescribed medication on your script for no additional charge, provided that information to be designed and printed is supplied via email.   (If the information is designed by Keskes Printing there will be a $30.00 typesetting fee.)

We can print multiple prescribers* (up to 3) on your script for no additional charge. (If there are more than 3 prescribers (limit 5) there will be a $30.00 typesetting fee.) 
*Not available on Physcian Assistant or Midwife styles

We can print multiple addresses (up to 3) on your script for no additional charge for scripts ordered with second side printing.  
(If there are more than 3 addresses (limit 5) there will be a $30.00 typesetting fee.)

**** Any changes made by the customer after proof has been sent, other than what was
originally written on the order form, will result in a $10.00 additional charge
.***

24* Hour Rush Service available
(48* hours for 2nd side printing or 2 and 3 part carbonless)
for a $30.00 additional charge.  (24 [48]-hour production
from time of approval.

 Rush service available only on the minimum order {8 pads}.
****(Does not include weekends.)****
Normal production time is 7 - 14 days.

[Reorder requirements for NJPB scripts: all reorders with no changes must be accompanied with the previous reorder number or a faxed or emailed copy of the  script being ordered. A customer requesting a proof for a reorder not meeting the above requirements will be charged an additional $20.00 for a second proof.]

 New Jersey Prescription Blanks  

Keskes Printing is an approved printer and distributor
of New Jersey Prescription Blanks!

On the bottom of this page you will find the
UNIFORM NEW JERSEY PRESCRIPTION BLANKS ORDER FORM.


4" x 5 1/2"
1 Part - 100 Sheets per pad
2 Part - 50 Sets per pad
3 Part - 35 Sets per pad (call for pricing)

Medical, Dental, Veterinary - 445821

Optometrist - 445841

Advanced Practice Nurse - 445801

Pad Quantity 1 Part 2 Part
8 85.57 126.54
20 141.34 176.95
32 202.51 281.19
40 250.51 347.06
48 266.99 407.48
100 503.61 735.42

 
STATE OF NEW JERSEY CERTIFIED ELECTRONIC
PRESCRIPTION LASER PAPER PRICING

WE CAN CUSTOMIZE YOUR LASER RX FORMS FOR A ONE TIME CHARGE

CALL FOR PRICING !

Quantity Top Left or Center Position
500 167.43
1000 224.03
2000 325.43
3000 448.57
4000 575.30
5000 696.23
10,000 1,022.28
  
                                                                                                                            
   

                             

Physician Assistant - 445871

Eyewear - 445861

Nurse Midwife - 445811

Health Care Facility - 445831

On the bottom of this page you will find the 
UNIFORM NEW JERSEY PRESCRIPTION BLANKS ORDER FORM
FOR ELECTRONIC PRESCRIPTION LASER PAPER.

Second Side Printing Available.

1/Part: $30.00 for up to 20 pads. $1.60 for each additional pad.

2/Part: $35.00 for up to 20 pads. $1.65 for each additional pad 

Laser Scripts: $35.00 per 1000

If your first order of NJ Rx pads is for a quantity of 20 or more,
you'll receive a self-inking signature stamp absolutely free!

Click on clipboard to get the NJPB Order Form
for single, carbonless and laser styles
 Click on the image below to get the NJPB Order Form 
for Electronic Prescription Laser Paper
 
When filling out the form, please be sure to fill out the section concerning
the Electronic Health Records Program that you are using.  
The State of New Jersey requires us to have this information for our records.
Thank you.
Click on the image below to get the NJPB Order Form
for those requiring a supervising or collaborating physician.
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Keskes Printing
5 West Taunton Avenue
Berlin, NJ 08009
Phone: (856) 767-4733
OPEN: Monday to Friday- 8am to 5pm
Email: keskes.pc@verizon.net

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