If you are having problems navigating, please call 1-800-328-2179 to order through phone.

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State Rx Order Form

In accordance with state laws, orders for California, Florida, New Jersey, Maine and Wyoming Rx blanks need to be submitted by mail or fax (no phone or web orders permitted.)

For your convenience, order forms are available in PDF format online. In order to view and print these files, you will need Adobe® Acrobat® Reader™ installed on your computer. If you do not have this program, you can get it here.

Sample Florida Rx Pad

Instructions:

  1. View order forms by clicking the appropriate state listed below:
  2. Once open, print the order form or save it to your computer for future use.
  3. Fill out the order form and mail or fax:
    • Mail To:
      Medical Arts Press
      P.O. Box 43200
      Minneapolis, MN 55443-0200
    • Fax To:
      800-328-0023

If you have questions, or need assistance, please call 800-328-2179.