Australian people can buy antibiotics in Australia online here: http://buyantibioticsaustralia.com/ No prescription required and cheap price!

Microsoft word - ccd scanner manual-1 usb.doc

This equipment has been tested and found to comply with the limits for a Class A digital device, pursuant to Part 15 of FCC Rules. These limits are designed to provide reasonable User’s Manual
protection against harmful interference in a residential installation. This equipment generates, uses and can radiate radio frequency energy and, if not installed and used in accordance with the instructions, may cause harmful interference to radio communications. However, there is no guarantee that interference will not occur in a particular installation. If this equipment does cause harmful interference to radio or television reception, which can be determined by turning the equipment off and on, the user is encouraged to try correct the interference by one or more of the following measures: • Reorient or relocate the receiving antenna. • Increase the separation between the equipment and receiver. • Connect the equipment into an outlet on a circuit different from that to which the • Consult the dealer or an experienced radio/TV technician for help. Table of Contents
4.10 Plessey.10 4.11 Telepen.11 4.12 RSS .11 This manual contains all the information needed to operate and configure the CCD Barcode Scanner. It is divided into two parts. The first part of this manual describes the operation and programmable features of the scanner. The second part of this The buzzer of the scanner beeps differently to indicate various operating conditions. manual contains the setup barcodes used to configure the scanner. • Power On Beep: The CCD scanner will issue a long beep to indicate a successful
The scanner is one of the most versatile and flexible CCD barcode scanner in the world. All the features and functions required for up to date barcode reading are • Good Read Beep: There are four volume levels and four beeping tones
included. Owing to the compact design and extremely low power consumption, this (frequencies) that the user can select from to signify a good read. The available scanner provides for easy installation and high product durability. The scanner will not only cater for the requirements needed today, but also can fulfill your long term needs. The main functions and features provided on the scanner are listed below. • Barcode Readability: Most popular barcode symbologies are supported. • Error Beep: The scanner will issue a long beep with a low tone to indicate
Enter / Exit Configuration Beep: The scanner will issue 6 beeps upon entering /
Setup Beep: In configuration mode, the scanner will normally beep twice when a
setup barcode is read. If the particular setup parameter needs more than one read, • Interface Support : KBD Wedge, RS232, and USB the scanner will only issue a short beep to indicate that there are more setup • Programmable Code ID: Code ID can be individually configured for each barcodes needed to complete the current parameter setting. 2.2 Indicator There is a dual color indicator on top of the scanner. Normally it is off, and will turn red when there is a good read. The indicator will be green when the scanner is • Data Editing: Data can be reorganized according to user programmable formats. Up to three data editing formats are supported. There are eight scan modes supported by the CCD scanner. The user can choose the desired scan mode depending on the application requirements. But, if the scanner is a switch-less scanner, only Continuous mode or Testing mode can be selected (other scan modes involve trigger switch interaction). The supported scan modes are described below. • Auto Off Mode: The scanner will start scanning once the switch is
triggered. The scanning continues until either a barcode is read or a preset scanning period (Scanner Time-Out Duration) is expired. • Continuous Mode: The scanner is always scanning.
Auto Power Off Mode: The scanner will start scanning once the switch is
triggered. The scanning continues until a preset scanning period (Scanner Time-Out Duration) is expired. Unlike the Auto Off mode, the scanner will continue to scan and the scanning period is re-counted each time there is a the reading valid. It is obvious that the more redundancy the user selects, the higher the reading security and thus the slower the reading speed. The user must compromise between decoding security and decoding speed if the security feature is • Alternate Mode: The scanner will start scanning once the switch is
triggered. The scanner will continue scanning until the switch is triggered again. • Momentary Mode: The scanner will be scanning as long as the switch is
Most of the popular barcode symbologies are supported. Each symbology can be individually enabled or disabled. The scanner will automatically discriminate and recognize all the symbologies that are enabled. The supported barcode symbologies • Repeat Mode: The scanner is always scanning just like Continuous Mode.
But now the switch acts like a “re-transmit button”. If the switch is triggered within 1 second after a good read, the same data will be transmit again without actually reading the barcode. This “re-transmit button” can be triggered as many times as user desired, as long as the time between each triggering does not exceed 1 second. This scan mode is most useful when the • Laser Mode: This is the scan mode most often used on laser scanners. The
scanner will start scanning once the switch is pressed. The scanning continues until either a barcode is read, the switch is released or a preset scanning period (Scanner Time-Out Duration) is expired. • UPCE (with or without Addon) • EAN8 (with or without Addon) • Test Mode: The scanner is always scanning. The scanner will decode
By default, the scan mode is Auto Off mode for scanners with trigger switch, and is Continuous mode for switch-less scanners. If the scanner mode is set to Continuous, Auto Power Off, Alternate, or Momentary mode, the scanner will prevent accidentally reading the same barcode twice by using a Re-read Delay (Blocking Time). The barcode must be taken away from the scanning line longer than the Re-read Delay to allow second reading of the same barcode. The Re-read Delay can be set by the user. The CCD scanner can be configured to read negative barcodes. Normally, barcodes are printed with the color of the bars darker than that of the spaces. But for negative barcodes, they are printed in the opposite sense just like negative films. The spaces of the negative barcodes are printed with a color darker than that of the bars. This parameter is used to limit the maximum scanning period when the scan mode is either Auto Off Mode or Auto Power Off Mode. This time-out duration is specified in units of second. The default time-out duration is ten seconds. 2.6 Reading Redundancy This parameter is used to specify the levels of reading (decoding) security. If No Redundancy is selected, only one successful decoding can make the reading valid. If Three Times Redundancy is selected, it will take 3 successful decodes to make The scanner is a single interface CCD scanner. It can be ordered as a keyboard wedge scanner, an RS-232 scanner, or a USB scanner. The output interface must be In order to send alphabets with correct case, the scanner needs to know the capital lock status of the keyboard. Incorrect settings may result in reversed case of alphabets being transmitted. There are 3 options to this parameter : On, Off, or Auto Detection. If this parameter is set to Auto Detection, the scanner will automatically detect the capital lock status of the keyboard before it transmits data. The keyboard wedge interface is enabled by configuring/selecting keyboard type. The supported keyboard types are listed below. 3.1.5 Alphabets Transmission User can choose how alphabets are sent by configuring this parameter. The • PCAT - US, French German, Italian, Swedish, Norwegian, UK, Belgium, alphabets can be sent according to their case (the Case Sensitive option), or the case is ignored (the Ignore Case option) when transmitting. • PS2-30 • IBM 3477 TYPE (Japanese KBD) • IBM 34XX,319X & Memorex Telex (122Keys) User can choose how the scanner transmits digits by configuring this parameter. The scanner can transmit digits by using the alphanumeric key or by using the numeric key pad. The Num Lock status of the keyboard should be ON if numeric Keyboard layout style can be selected. There are three options to this setting : default layout (US or English style), AZERTY layout, and QWERTZ layout. This setting only works when the keyboard type selected is for US keyboard. The scanner will make necessary adjustment when sending the ‘A’, ‘Q’, ‘W’, ‘Z’, ‘Y’, and ‘M’ character according to this setting. 3.1.3 Keyboard Style – Digits There are two digit layout styles as shown on the following figures. One has its digit keys on top (upper row), the other has them on bottom (lower row). The digit layout style can be changed by configuring this setting. There are three
options to this setting : Default, Lower Row, and Upper Row. The scanner will
make necessary adjustment when sending digits according to the setting value of this parameter. This setting is meant to be used with the above setting (Keyboard 3.1.7 Inter-Character Delay
Style – Alphabets) and perhaps Character Substitution setting, when support to An inter-character delay of 0 to 255 ms can be configured to match the computer languages not available on the scanner is needed. response time of the keyboard interface. The delay time configured is inserted between transmitting every character. The longer the delay time configured, the slower the transmission speed will be. The inter-character delay is zero by default. Digits on Lower Row
Digits on Upper Row
The user can select the desired, flow control, baud rate, parity, and data bits to be This section describes user configurable parameters which are pertaining to barcode 3.2.1 Baud Rate / Parity / Data Bits The supported baud rate, parity, and data bit are listed below. • Baud Rate : 38400 / 19200 / 9600 / 4800 / 2400 / 1200 / 600 / 300 • Standard / Full ASCII Code 39 : User can choose to read either Standard
Code 39 or Full ASCII Code 39 by configuring this parameter. • Parity : None / Even / Odd • Data bit : 8 / 7 • Start/Stop Transmission : This parameter specifies whether the start/stop
characters of Code 39 are included in the data being transmitted. 3.2.2 Flow Control The user can further configure the flow (handshake) control method to be used. The • Checksum Verification : This parameter specifies whether the scanner will
perform checksum verification when decoding barcodes. If the checksum is incorrect, the barcode will not be read. • Checksum Transmission : This parameter specifies whether the checksum
• Scanner Ready : The scanner will activate the RTS signal after power on. After each good read the scanner will then wait for the CTS signal becomes character are included in the data being transmitted. active. The data will not be sent until CTS signal becomes active. • Data Ready : The RTS signal will be activated after each good read. The For Italy /French Pharmacode, there is always a checksum character included in the scanner will then wait for the CTS signal becomes active. The data will not barcode. So the checksum verification is always performed when decoding these be sent until CTS signal becomes active. symbologies. User though can choose whether the checksum character is to be • Inverted Data Ready : It is like the Data Ready flow control, but the RTS transmitted or not. The start / stop transmission of this code shares the same setting 3.2.3 Inter-Character Delay
Checksum Transmission: This parameter specifies whether the checksum
An inter-character delay of 0 to 255 ms can be configured to match the computer character are included in the data being transmitted. response time. The delay time configured is inserted between transmitting every character. The longer the delay time configured, the slower the transmission speed will be. The inter-character delay is zero by default. • Start / Stop Selection: This parameter provides the readability of all 2 of 5
symbology variants. For example, flight tickets actually use an Industrial 25 Two USB interface models are also available and must be specified at time of barcode but with Interleave 25 start / stop. In order to read this barcode, the order. The ordered USB model type is indicated on the packaging. start / stop selection parameter of Industrial 25 should set to ‘Interleave
25
.
Checksum Verification: This parameter specifies whether the scanner will
The configuration of Serial USB scanner is the same as RS232 interface. For perform checksum verification when decoding barcodes. If the checksum is installation instructions please refer to the separate diskette included with your incorrect, the barcode will not be read. • Checksum Transmission: This parameter specifies whether the checksum
character are included in the data being transmitted. The configuration of HID USB scanner is the same as Keyboard Wedge interface. (3~5 ms of Inter-Character Delay is suggested when using HID USB interface).For • Code Length Qualification: Because of the weak structure of the 2 of 5
codes, a partial scan has a high probability of decoding as a valid but shorter installation instructions please refer to the separate diskette included with your scanner, only required for Windows 98. For Windows Me, Windows 2000 AND 2 of 5 codes (known as short scan). To prevent this kind of undesired Windows XP, no installation required. Just Plug in and scan. reading, the Code Length settings can help to insure that the correct code is
read by qualifying the allowable code length. Code length parameters can be
configured in two ways : Fixed Code Length or Max / Min code length. If
the fixed code length is selected, up to 2 fixed lengths can be specified. And • Convert to EAN13: If this parameter is enabled, the UPCA read will be
if max / min code length is selected, the max length and the min length must expanded into EAN13, and the following processing will follow the be specified, and the scanner will only accept those codes with lengths fall • System Number Transmission: If this parameter is enabled, the system
number will be included in the data being transmitted. • Start/Stop Transmission: This parameter specifies whether the start/stop
Checksum Transmission: If this parameter is enabled, the checksum
characters of Codabar are included in the data being transmitted. character will be included in the data being transmitted. • Start / Stop Selection: Four different start / stop pairs can be selected as
start / stop characters as listed below. • ISBN / ISSN Conversion: If these parameters are enabled, the scanner will
convert the code read into ISBN or ISSN code if the formats are correct (EAN13 codes start with 978 or 979 for ISBN, and 977 for ISSN). • Checksum Transmission: If this parameter is enabled, the checksum
character will be included in the data being transmitted. • System Number Selection: The UPCE comes with 2 flavors : System
Number 0 and System Number 1. These two differ in the way data are
Checksum Verification: Three kinds of checksum calculations can be
encoded. The system number 1 is the new UPCE extension to the ordinary implemented into MSI code : Single Modulo 10, Double Modulo 10, or
UPCE (system number 0). User can have the choice of enabling both system Modulo 11 & 10 checksum. If the checksum character is incorrect, the
Warning: Because of the way system number 1 is encoded, if both system
Checksum Transmission: User can control how the checksum is
numbers are enabled, user might suffer from short scanning UPCA or transmitted by configuring this parameters. EAN13 into UPCE system number 1 barcodes. • Convert to UPCA: If this parameter is enabled, the UPCE read will be
expanded into UPCA, and the following processing will follow the • Code Length Qualification: Because of the weak structure of the MSI
System Number Transmission: If this parameter is enabled, the system
code, a partial scan has a high probability of decoding as a valid but shorter number will be included in the data being transmitted. MSI codes (known as short scan). To prevent this kind of undesired readings, the Code Length settings can help to ensure that the correct code is • Checksum Transmission: If this parameter is enabled, the checksum
character will be included in the data being transmitted. read by qualifying the allowable code length. Code length limitations can be
set in 2 ways: Fixed Code Length and Max/Min code length. If the fixed
code length is selected, up to 2 fixed lengths can be specified. And if max / min code length is selected, the max length and the min length must be • Convert to EAN13: If this parameter is enabled, the EAN8 read will be
specified, and the scanner will only accept those codes with lengths fall expanded into EAN13, and the following processing will follow the • Checksum Transmission: If this parameter is enabled, the checksum
character will be included in the data being transmitted. • Convert to UK Plessey: If this parameter is enabled, the scanner will
change each occurrence of the character ‘A’ into character ‘X’ in the code. • Checksum Transmission: If this parameter is enabled, the checksum
characters (two characters) will be transmitted together with data. Data read by the scanner will be processed in the following sequence (RS-232, Keyboard Wedge and USB interfaces). 1) The character substitution is performed on the barcode data. • Telepen Output: There are two flavors of encoding formats for Telepen.
2) The Code ID and the Length Code are inserted at the beginning of the data as One is the original Telepen format, the other is AIM Telepen format. User can choose the desired encoding format for Telepen readings. 3) The resulting data of step 1 will be processed by the editing formats. For details, • Code ID Selection: User has choice of using RSS Code ID (‘]e0’) or
please refer to the section “Data Editing”. 4) And finally the Prefix Code and the Postfix Code will be added before • Code ID Transmission: If this parameter is enabled, the Code ID selected
by the preceding setting will be included in the data being transmitted. [Prefix Code] [Resulting Data of Step 3] [Postfix Code] • Application ID Transmission: If this parameter is enabled, the Application
ID will be included in the data being transmitted. 5.1 Character Substitution There are three character substitution settings on the scanner. These settings are • Checksum Transmission: If this parameter is enabled, the checksum
configured on a character base. That is, a specific character is to be substituted by character will be transmitted together with data. an another character. The character substitution is performed on every occurrence of the characters specified in these settings. Be aware, the substitution is performed
only on the barcode itself (exclude Prefix Code, Postfix Code, Code ID, Length
Code or any Additional Field) and is performed before editing mode processing.
If only the character to be replaced is specified, every occurrence of that character in the barcode will be taken away. 5.2 Prefix / Postfix Code Up to four characters of prefix / postfix code can be configured for the scanner. 5.3 Code ID Up to two characters of Code ID can be configured for each symbology. To minimize the Code ID configuration efforts, the scanner provides five predefined Code ID Sets that user can select from. User can first select one of the Code ID Sets and then make desired modifications. The pre-defined Code ID Sets are shown below. The scanner CCD scanner provides advanced data editing functions for data formatting. Data editing is performed according to user configured editing formats. Up to three editing formats can be configured. Data is divided into fields by user specified rules. These fields together with user configurable additional fields constitute the data actually sent to the host computer. The detailed descriptions and the configuration procedures of the editing format are To start configuring an editing format, the editing format to be configured must first be selected. Once it is selected, the parameters pertaining to editing format (applicable condition, total number of field, field dividing rules, additional fields, and field transmission sequence parameters) can be configured. After all the desired parameters are configured, the “End of Format Programming” label must be read to complete the configuration of that editing format. Note: Before completing the configuration of the editing format, if parameters other
than those pertaining to editing format are read, the editing format under
configuration will be aborted. User must restart the configuration again by selecting Two digits Length Code representing the length of data (character count) can be inserted in front of data being transmitted. This Length Code parameter can be individually enabled or disabled for each barcode symbology. 6.2 Restore Default Format After the editing format to be configured is selected, user can read the “Restore Default Format” label to put the editing format back to default setting. The default settings of the editing format are listed below. • Applicable Code Type: All • Applicable Length: Both max and min length are zero. • Matching string: Empty • Matching String Location: 0 • Total number of field: 1 • Field Setting: Not Configured • Additional Fields: Empty • Field Transmission Sequence: F1 6.3 Applicable Conditions Three applicable conditions can be configured to qualify whether the data read by the scanner can be processed by the particular editing format. Data editing will not be performed unless all three applicable conditions are met The configurable applicable conditions are described below. • Code Type: This parameter specifies the code type of the data eligible for
data editing. Multiple code types can be specified for this parameter. • Data Length: This parameter specifies the length (character count) of the
data eligible for data editing. It is specified in the range format. The length After the data fields and the additional fields are configured, user can now program of the data must fall between max and min length limits. If the max length the transmission sequence of these fields that comprise the final data. The “Start” and the min length configured is both zero, the scanner will not perform this label must be read before assigning the field transmission sequence. And then the desired field transmission sequence can be specified. The scanner will transmit the fields in the order (sequence) user programmed when sending data. The field • Matching String and its Location: User can specify a particular character
string (up to four characters) that must appear in the data which is eligible transmission sequence can be assigned in any desired order and fields can also be for data editing. User can also specify where (character position, starts from assigned multiple times. The maximum number of fields can be assigned is twelve. one) this string should appear in the data by configuring the matching string After the sequence has been assigned, the “End” label must be read to complete the location. If the location specified is zero, the scanner only checks for the existence of the matching string in the data. To disable the matching string qualification, just leave the matching string empty. 6.8 End of Format Programming After all the desired parameters are configured, the “End of Format Programming” label must be read to conclude the programming of the editing format. This label is Data can be divided into at most 6 fields. The total number of fields configured located at the bottom of every even page in the “Editing Format Parameters” section must be correctly specified. The fields are numbered from F1 to F6 accordingly, but only F1 to F5 can be configured. Please note that, the number of fields can be configured is always one less than total number of fields specified. The extra data characters beyond the last field configured will be automatically assigned to the Before data can be processed by a particular editing format, that format must be next field. That is, if three fields are configured for the editing format, the data enabled. The editing formats can be enabled or disabled individually. characters after F3 will be assigned to F4 automatically. This feature is quite useful especially when data of variable lengths is processed by editing formats. 6.10 Exclusive Data Editing If this parameter is enabled, all data read by the scanner must be processed by the editing format. If the data is not eligible for all enabled editing formats, the scanner Data eligible for editing format is divided into fields according to user specified will not accept the reading and the data will not be transmitted. rules. The rule for each field can be configured in two ways. • Field Terminating String: The field dividing rule can be configured by
specifying the field terminating string. The field terminating string Example 1: Extracts data from the 10th character to the 19th character.
configured can be up to two characters. The scanner will search for the occurrence of this particular string in the data for the field. The field terminating string is always included in the field. User though, has the option Field 1: Divide field by field length, set field length to 9 Field 2: Divide field by field length, set field length to 10 Field Transmission Sequence: F2 • Field Length: The field dividing rule can be configured by simply
specifying the field length. The scanner will assign the next specified Example 2: Extract the date code, item number, and quantity information from
barcodes. Data is encoded in the barcode like this: From the first character to the 6th character is the date code. From the 7th character is the item number, its length is not fixed but is delimited by a ‘-’ character. After the ‘-’ character is the User can create up to five additional fields for each editing format. Each additional field can have at most four characters. The additional fields are numbered AF1 to AF5 accordingly. Data should be transmitted like this: Item number goes first, then a TAB character, and then the date code, and then another TAB character and finally the quantity. Configuring the CCD Scanner is done by reading the setup labels contained in the Field 1: Divide field by field length, set the field length to 6. Configuration Manual (the second part of this manual). This section describes the Field 2: Divide field by field terminating string. Set terminating string to ‘-’, procedure of configuring the scanner. Some configuration examples are also given Additional Field 1: Set to one TAB character. Field Transmission Sequence: To start the configuration, the “Enter Setup” label must be read. This will put the
scanner in the configuration mode. The scanner will respond with 6 beeps and the
indicator will turn green after the label is read. This “Enter Setup” label is located at
the bottom of almost every even page of the Configuration Manual.
7.2 Default All the parameters of the scanner will return to their default values by reading the “Default” label. The scanner will beep twice when the “Default” label is read. 7.3 List Setting The current setting of all scanner parameters can be sent to the host computer for user inspection. The listing is separated into ten pages. User can select the page of interest by reading the “Page x” label. The scanner can not list setting, if Wand Emulation interface is configured. Page 1: Interface, Buzzer, and Scanner Parameters Page 2: Prefix, Postfix, and Length Code Setting Page 3: Code ID Page 4: Readable Symbologies Page 5: Symbology Parameters (1/3) Page 6: Symbology Parameters (2/3) Page 7: Symbology Parameters (3/3) Page 8: Editing Format 1 Page 9: Editing Format 2 Page 10: Editing Format 3 7.4 Setting Parameter Values For most of the parameters, only one read is required to set them to new values. The scanner will respond with two beeps when these parameters are configured. But for some special parameters, multiple reads are required to complete the setting. The scanner will respond with a short beep if the configuration of the parameter is still not complete. These parameters usually refer to a numeric value or a string of characters, such as keyboard type, inter-character delay, prefix / postfix code, etc. For these kinds of parameters, the label of the parameter to be configured must be read first. Then the labels comprising the numeric value or character string are read. Finally, the “Validate” label must be read to complete the setting. The scanner will respond with two beeps when the “Validate” label is read. Parameter Label
7.4.1 Numeric Parameters The configuration procedures for numeric parameters are shown below. Key Type / Status Label
Parameter Label
Decimal Label
Two Hexadecimal Labels
"Validate" Label
"Validate" Label
For example, to configure the Inter-Character Delay to be 15 ms, the “Inter- For example, to configure the Prefix Code to be “AB”, the “Prefix Code” label is Character Delay” label is first read, and then the decimal digit labels “1” and “5”, first read, and then the hexadecimal digit labels “4”, “1”, “4”, and “2” are read, and and finally, the “Validate” label to complete the setting. finally, the “Validate” label to complete the setting. Basically, each character programmed for the character string parameters is The key type/status is specified in character basis. Each character programmed is by represented by two hexadecimal digits. The two hexadecimal digits usually default of Normal key type. A character of normal key type can have associate comprise a value which is the ASCII code equivalence of the character being status settings (add Shift/Control/Alternate). Whereas a character of Scan Code type may not have any associate key status Beside the two hexadecimal digits, there is an optional key type/status can also be specified for each character of the string parameters. This optional key type/status • Normal Key Type: When this label is read, the scanner will assume the
can only be specified for some particular parameters when keyboard interface is following hexadecimal digits are the ASCII code of the character being used. These parameters are: Prefix Code, Postfix Code, Code ID, and Additional programmed. And it will also clear all the associate key status settings made The available key type/status settings can be selected will be described briefly. The • Scan Code: When this label is read, the scanner will assume the following
configuration procedures for character string parameters are shown below. hexadecimal digits are the scan code value of the character being programmed. • Add Shift: The Shift key will be sent together with the character
Add Control (L): The left Control key will be sent together with the
Add Alternate (L): The left Alternate key will be sent together with the
Add Control (R): The right Control key will be sent together with the
Add Alternate (R): The right Alternate key will be sent together with the
For example, to program the Prefix Code to be “Ctrl-Shift-B”, “C”, the programming sequence should be: 1) “Prefix Code” label 2) “Add Control (L)” label 3) “Add Shift” label 4) “4” of the hexadecimal digit 5) “2” of the hexadecimal digit 6) “4” of the hexadecimal digit 7) “3” of the hexadecimal digit 8) “Validate” Note: In internal representation of the characters which are specified with either
scan code or associate key status, occupy two normal character space each. So the
maximum number of characters can be configured for a string parameter will
decrease, if these character specifications are used.
7.5 Exit Configuration Mode Both the “Update”, and the “Exit Setup without Changes” labels will exit the scanner from configuration mode when they are read. These two labels differ in whether to keep the new settings on the scanner or not, as their names suggest. The scanner will respond with 6 beeps and restart itself, if either label is read.

Source: http://viccomputer.com.hk/support/manual/BC-SC1000_UserManual.pdf

healthpartners.org

PRIOR AUTHORIZATION REQUEST FORM Risperdal Consta® (Risperidone)r rPhone: 215-991-4300 r Fax back to: 866-240-3712 r HEALTH PARTNERS manages the pharmacy drug benefit for your patient. Certain requests for coverage require review with the prescribing physician. Please answer the following questions and fax this form to the number listed above. Please print clearly. Patient Name:

Microsoft word - medicalinfo2010

I would like to keep this information on file to use for future Northfield Community Church events. ❐ Yes, keep my information on file for future 2010 events. (Info will be kept for 1 year from submission.) ❐ No, I will resubmit information for future events. BASIC INFORMATION Participant Last Name: ________________________________________ First Name: _____________________ Participa

Copyright © 2010-2014 Find Medical Article