RX POWER BLANK
Brought to you by a
Pharmacist with a Vision
-Matthew Crowley
No data is stored or transmitted. All information entered here remains local to your device.
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What is the Prescription Power Blank?
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The Prescription Power Blank is a clean, digital-first form built for pharmacists who prefer typing over handwriting.
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Designed with efficiency, clarity, and privacy in mind, it streamlines the process of rapidly documenting verbal prescriptions while staying fully HIPAA compliant.
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Whether you're handling a fast-paced, high-volume day or just want to keep things neat, this tool helps you stay sharp, efficient, organized, and compliant — without the pen.
-- FREE TO USE --
--- CLICK THE PAD BELOW TO BEGIN ---
Key Benefits for Pharmacists
📝 Efficient Documentation Document verbal prescriptions quickly with our intuitive form that includes all required fields for legal compliance. No more searching for paper forms or struggling with cramped handwriting.
🔒 Privacy By Design Our unique system generates forms that never store patient information online. Print your completed forms directly, with all session data automatically cleared for maximum privacy protection.
⚡ Time-Saving Features Auto-populating pharmacist credentials, standardized fields, and a clean interface designed specifically for verbal prescription intake saves valuable minutes on every call.
✅ Regulatory Compliance Meet all state pharmacy board and HIPAA requirements for documenting verbal prescriptions with a standardized form that ensures you capture all required information.
How It Works
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Log in to your secure pharmacist account
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Complete the standardized verbal prescription form
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Print your documentation immediately
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Scan it in as a regular prescription order
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Click BLANK RX to reset the form
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Continue your workflow with peace of mind
RX Power Blank Features
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Automatic Date and Time Population: Instantly fills in the current date and time when the form is opened
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Pharmacist Credential Integration: Displays the supervising pharmacist's name automatically when logged in
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HIPAA-Compliant Design: Built to avoid storing Protected Health Information (PHI)
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Print-Optimized Layout: Formatted specifically for clean, professional printing
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Character Limits: Enforces appropriate field size limits to ensure proper documentation
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Auto-Resizing Text Fields: Text areas automatically adjust based on content length
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Upper-Case Conversion: Automatically converts all text to uppercase for clarity and standardization
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Visual Field Highlighting: Provides subtle glowing effects that make text easier to focus on and read, particularly when printed
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Line Count Enforcement: Limits text fields to appropriate number of lines (patient info: 2 lines, medication: 6 lines, etc.)
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Quick-Access Clinical Resources: One-click access to Clinical Pharmacology reference
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Substitution Options: Checkbox toggles for "Substitution Permissible" and "Dispense as Written"
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Blank RX Function: Quickly clears all form fields, resets time and date stamp, with confirmation to prepare a new blank prescription
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Sign-Off Protocol: Complete session termination protocol with form clearing
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Field-Specific Guidance: Helpful subtitles under each section suggesting important information to include (not all required, but beneficial for workflow)
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Warning System: Provides clear instructions about proper handling of patient information
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Structured Documentation Fields: Organized sections for patient info, medication orders, prescriber details, and additional information
Membership Options
---FREE---
All you need to do is register your email to the site, this way the form will know to auto-generate your name at the top of the form.
Join the pharmacists who are upgrading their verbal prescription documentation process today!