Make your prescription pad, free

Type your name, degrees, registration number and clinic details. Get a clean pad to print on A4 or A5, or save as a PDF.

Doctor

For example MBBS, MD

Clinic

For example Mon to Sat, 10 am to 1 pm

Paper

What you get

  • Your name, degrees, speciality and registration number at the top left.
  • Your clinic name, address and phone at the top right.
  • Blank lines for the patient's name, age, sex and date.
  • A large ℞ and an empty space to write the prescription.
  • Your clinic timings and a line for your signature at the foot.

The pad prints blank below your header. You write the patient's details and the prescription by hand.

How to use it

  1. Fill in your details above. Only your name is needed.
  2. Choose A5 for a half-page pad or A4 for a full page.
  3. Press the button, then print the sheet or save it as a PDF from your browser.

Nothing you type is saved on our side.

Tired of writing the same prescription twice?

Clinic Scribe saves every prescription you write to the patient's file. You can write with a pen on a tablet, type, dictate or photograph a paper prescription, and find the last visit in seconds. Book a demo to see it.

Common questions

Is the prescription pad maker free?

Yes. There is no sign-up and no email needed.

Can I print it on A4 and on A5?

Yes. Choose the paper size before you make the sheet. A5 is the usual half-page pad, and A4 gives a full page.

Can I save it as a PDF?

Yes. Press the print button and choose Save as PDF in your browser. On a computer you can also press Ctrl+P, or the Command key and P on a Mac.

Is anything I type saved?

No. Your details are used to draw the sheet and are not stored.

Medical certificate format · All free tools

Tell us how to reach you

What happens next

  1. You send this form.
  2. We call you to set up a demo.
  3. We show it working on your own records.
Phone or email — one is enough
What do you need? (tick any)