I have never had a jamming problem with the 1/4 sheets. Not to say it couldn't happen. Of course, if I forget and let it print "4 per page" it comes out in teeney weeny print (4 prescriptions per 1/4 sheet).
You can even buy refurbished laser printers with 2 or more paper trays, selected from software. We use one of those up front, but I'm thinking of putting them in the exam rooms so I can print handouts and Rx from the same machine. It's just that they are so beastly BIG. I have the printers in the hall just outside exam room doors, so it isn't really a huge hassle.
I have a lot of "chronic pain" and "ADD" folks in the practice, and I make anyone who needs even C3-5 come in for Rx. For medicare and welfare, at least in OR and WA, they have to be printed on tamper-resistant paper, so I do go through a bunch of it.
I write three months worth of schedule 2 drugs at a visit, so there was a lot of writing (and I made a lot of mistakes) until I figured out how to print them out of AC
