Prescription pad FAQ

Are Controlled Prescription Program prescription forms the same as duplicate prescription pads?

Yes. The Controlled Prescription Program prescription forms are specialized duplicate prescriptions with additional security measures to prevent forgeries.

Historically, they were known as the triplicate prescription forms, CPP sheets, or the controlled prescription pad.

What is the difference between duplicate prescription pads and EMR printer-friendly sheets?

Duplicate prescription pads are typically written by hand. The prescriber copy (blue copy) is underneath the pharmacy copy.

EMR printer-friendly sheets are digitally printed and are void if the prescription is handwritten. The pharmacy copy and prescriber copy are printed side by side.

prescription pad versus emr sheet
  Pharmacy copy Prescriber copy
Duplicate prescription pads First page of the Rx Second page of the Rx (blue copy)
EMR printer-friendly sheets Left side of the Rx sheet Right side of the Rx sheet

EMR printer-friendly sheets are not bound in books; they are individual sheets designed to sit in a printer tray. Each prescriber will need to configure their site printer for the prescription output and add their name and CPSID on the sheets if not pre-printed.

EMR printer-friendly sheets are numerically tracked (folio numbers assigned under the ordering prescriber’s CPSID) and should always be stored securely. To report lost or stolen EMR printer-friendly sheets, follow these steps.

Wet signature

Once the prescription is printed, the prescriber must provide an authentic, handwritten signature on the prescription before issuing it to the patient to fill at a community pharmacy.

The prescriber copy must also be signed with an authentic, handwritten signature and must be securely retained and attached to the patient’s chart using a process that satisfies all regulatory requirements.

If the EMR has the capability to create an electronic signature, it must be either signed with an electronic pen, mouse or equivalent or use a digital image of a signature with unique identifiers such as a date stamp, time stamp, password protection. Otherwise, a traditional wet pen-to-paper physical signature in ink is still required.  

Prescriber responsibilities

Prescriber will be responsible for:

  • Using secure printers with lockable trays
  • Ensuring end-to-end chain of custody for the EMR printer-friendly sheets including, but not limited to, ordering, receiving, storage, access, delivery, and restocking printers
  • Printer configuration
  • Determining the process to account for lost/stolen forms and/or damaged and voided forms
  • Retaining the signed prescriber copies and attaching them to the patient’s record
  • Ensuring that EMR printer-friendly sheets are always stored securely

EMR printer-friendly sheets can only be ordered by a College registrant at each site with an active licence through their College account.

Each site is responsible for configuring its printer to accommodate EMR printer-friendly sheets. The College cannot assist in the set up.

The left side of the EMR printer-friendly sheet is the pharmacy copy.

The right side of the EMR printer-friendly sheet is the prescriber copy—to be retained and attached to the patient record. It is only necessary to retain one original medical record. If you are using an EMR, once the prescription has been scanned and saved to an EMR, it is not necessary to retain the original paper record. Physicians who are using paper charts should attach this copy to the patient’s paper chart.

  Pharmacy copy Prescriber copy
Duplicate prescription pads First page of the Rx Second page of the Rx (blue copy)
EMR printer-friendly sheets Left side of the Rx sheet Right side of the Rx sheet

Reporting lost or stolen duplicate prescription pads

The Ministry of Health issues FanOut messages to pharmacies to communicate lost or stolen duplicate prescription pads. Prescribers can report a lost or stolen duplicate prescription pad to PharmaNet Support Services for communication to pharmacies via FanOut. A prescriber must be a registrant of the College.

Follow the recommended steps to report a lost or stolen prescription pad.