Printer troubleshooting technician providing live chat help

Joe B.

Reviewed for technical accuracy

Specialities: Allscripts EHR, Citrix published apps, Windows print drivers, PCL/PostScript, Healthcare network printers

Fix “Allscripts order sheet prints inverted logos” — disable mirror image, correct printer driver, repair Citrix session printing

Technician avatar Technician
Hey there — we can definitely help with your Allscripts order sheet printing inverted logos. This is usually a combination of how the order sheet template is rendered and how the Windows printer driver or Citrix Universal Printer handles options like Mirror Image, Reverse print, or Flip horizontally. I want to narrow it down quickly: which Allscripts product are you on (TouchWorks / Professional / Sunrise), are users launching it via Citrix or directly on a workstation, and what printer model are you sending the order sheets to (PCL or PostScript driver)?
Customer
We’re on Allscripts Professional in a small clinic, published through Citrix. Providers print the order sheet from the chart, and the clinic logo in the header comes out inverted, like a mirror image. On screen it looks normal. Printers are HP LaserJets on a Windows print server.
Technician avatar Technician
Got it — that helps a lot. When an Allscripts order sheet prints inverted logos but the preview looks fine, it’s almost never the EHR itself. Instead, the printer driver is applying a layout option such as Mirror image, Reverse page orientation or a rotated graphics mode. This shows up mostly on logos, letterheads, and barcodes at the top of the form, while plain text still looks normal.

In Citrix environments, this can be compounded if users are mapped to a universal print driver or a mismatched PCL/PostScript queue. Our plan will be:
1) Check the Windows Printing Preferences for the Allscripts printer for any mirror / invert settings.
2) Confirm whether the queue uses a vendor HP driver or a generic / class driver.
3) If this is a Citrix auto-created printer, verify the client-side driver settings too.
4) Test the order sheet again from Allscripts once mirror/flip options are cleared.
Customer
We use a shared printer on the Windows server with an HP Universal PCL 6 driver. Staff connect from thin clients through Citrix. Other documents print fine — it’s specifically the Allscripts order sheet logo that’s inverted.
Technician avatar Technician
That lines up with what I usually see when images print in reverse. Many HP and other drivers include options like Mirror Image, Reverse Print, or Flip horizontally aimed at T-shirt transfers or pre-printed stock. If that setting is turned on in the queue defaults, every document that uses a graphic header — e.g. the Allscripts order sheet — will print the logo backwards.

On the print server, open Devices and Printers → right-click the shared printer → Printing Preferences. Look under the Layout / Finishing / Effects tabs for anything named Mirror image, Reverse page, or a similar “flip” setting. If you see it checked, uncheck it and apply. This will stop the driver from inverting logos coming from Allscripts.
Customer
If I print the same PDF logo from Adobe on the server, it’s fine. The inversion happens mainly when providers click Print on the Allscripts orders report. Could this be how Allscripts renders the order sheet, not just the driver?
Technician avatar Technician
Good question. Allscripts typically renders order sheets and encounter forms as a report object (often Crystal Reports or a similar engine) and hands it off to the Windows print stack. The logo in the header is usually a raster image placed on that report. If the printer driver has any special handling for bitmaps — like inverted graphics mode, monochrome thresholding, or a legacy compatibility setting — it can flip only the logo while leaving the text intact.

That’s why your generic PDF print may look correct: the application sends a different kind of print job. The fix is still in the driver: disable mirror / reverse / invert options and, if needed, switch the queue temporarily to a PostScript driver to see whether the inverted logo issue disappears for Allscripts order sheets.
Customer
We’re fully on Citrix — users don’t print directly from the server desktop. Does that change where we fix the inverted logos on the Allscripts order sheet?
Technician avatar Technician
In a Citrix Allscripts setup there are two main paths:
• A session printer from the Windows print server using an HP or universal driver.
• A client-mapped printer using the local workstation driver, sometimes wrapped by the Citrix Universal Print Driver.

If Allscripts order sheets print with mirrored logos for everyone using the same shared printer, we focus on the print server queue. If only specific locations or thin clients see inverted logos, we also check the client-side driver settings for a mirror/flip option. Citrix itself rarely inverts the image; it just passes the rendered job through the driver that has that mirror setting enabled.
Customer
Where exactly should we uncheck mirror settings so that all Allscripts users stop getting inverted logos — on the print server, or on each workstation?
Technician avatar Technician
For a shared printer used by Allscripts providers, start with the print server:
1) Log onto the print server with admin rights.
2) Go to Devices and Printers → right-click the printer → Printing Preferences (not Printing Properties).
3) On the Layout / Finishing / Effects / Advanced tabs, clear any options named Mirror image, Reverse print, Flip horizontally, or Inverse.
4) Click Apply, then test print an Allscripts order sheet again from Citrix.

If some users still see the order sheet logo reversed, we then check their local workstation printing preferences (for client-mapped printers) to make sure those mirror options are off there as well.
Customer
Could the logo file itself be the problem? It’s a PNG we uploaded years ago into Allscripts. Do we need to replace the logo image in the template to fix the inverted printing?
Technician avatar Technician
A corrupt or unusual logo file can cause fuzzy or low-resolution prints, but a perfectly normal PNG doesn’t spontaneously become mirrored in just one workflow. If the logo looks correct in:
• The Allscripts preview window
• Screenshots
• Test prints to another printer queue

…then the artwork itself is fine. The inverted logo on the order sheet is almost always a printer-driver rendering issue. Only if the logo appears flipped in multiple applications and on different printers would we look at replacing it inside the Allscripts template. For your case, we’ll fix the driver and orientation settings instead.
Customer
If we switch to a different driver, like PostScript instead of the HP universal PCL, will that help with the inverted Allscripts logos? I don’t want to break other forms.
Technician avatar Technician
Great point. For Allscripts printing issues like inverted logos, a quick way to isolate the driver is to create a test queue:
• Leave your existing PCL queue intact for production.
• Add a second queue to the same device using an HP PostScript or vendor-recommended driver.
• Map that queue to your Citrix session or test directly on the server.
• Print the identical order sheet from Allscripts.

If the inverted logo problem vanishes on the PostScript queue, we know the universal PCL driver (or its layout settings) is the culprit. At that point you can either standardize on the better-behaving driver or carefully replicate its configuration onto your production queue.
Customer
We unchecked a “mirror” option on the server driver and printed the Allscripts order sheet again — the logo is finally normal. Anything else we should lock down so this doesn’t come back?
Technician avatar Technician
Nice — that confirms it was a mirror / reverse print setting on the queue. To keep Allscripts order sheets from printing inverted logos in the future:
• Lock the corrected driver settings by using Printing Defaults and Group Policy where possible.
• Avoid enabling Mirror image or Reverse page orientation on shared queues used by EHR forms.
• Document which driver (PCL vs PostScript) works best with your Allscripts reports.

Summary: When an Allscripts order sheet prints inverted logos, fix the Windows or Citrix printer driver — clear mirror/flip options and, if needed, test with a different driver type. Need help reviewing your print queues or Citrix policies clinic-wide? Open the chat.

Quick answer: the accepted fix

Accepted fix when an Allscripts order sheet prints inverted logos: open the printer’s Printing Preferences, turn off any Mirror image / Reverse print / Flip horizontally settings, test with a clean vendor driver (PCL or PostScript), and then reprint the order sheet from Allscripts to confirm the logo prints normally.

Why Allscripts order sheet logos print mirrored or upside down

When Allscripts order sheet logos print mirrored, reversed, or upside down, it’s usually because the printer driver is applying an image transformation. Options like Mirror image, Reverse page orientation, or special compatibility modes for graphics can invert only the logo in the header while leaving the rest of the order sheet intact. Updating or changing the driver, and clearing those mirror settings, resolves most inverted logo cases without touching the Allscripts template.

How to verify the fix for inverted logos on Allscripts order sheets

After changing the driver, print a test Allscripts order sheet and a simple Word document that uses the same letterhead. If the logo prints correctly in both, you’ve fixed the mirror setting. If the issue persists only in Allscripts, test a second printer queue (e.g., PostScript vs universal PCL) to confirm whether a particular driver family mishandles the Allscripts report graphics.

Allscripts printing — quick tips for inverted logos and images

Most reversed or mirrored logos come from driver options, not the EHR.

Quick path: identify the printer queue used for Allscripts order sheets → open Printing Preferences → disable any Mirror image, Reverse print, or Flip horizontally settings → test with a vendor driver (PCL or PostScript) → confirm the logo prints in the correct orientation from Allscripts and other applications.

Disclaimer: This information is AI-generated and intended for general guidance only. For advice specific to your healthcare environment, please consult a verified expert on Whizz-Tech before making decisions.

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FAQ

Why does my Allscripts order sheet print an inverted or mirror-image logo?

When an Allscripts order sheet prints an inverted logo, it’s usually due to a printer driver setting such as Mirror image, Reverse print, or Flip horizontally. Clearing those options in Printing Preferences typically restores a normal logo.

How do I stop Allscripts from printing reversed logos in a Citrix environment?

Identify the session printer that Allscripts uses, open its Printing Preferences on the print server, disable any mirror/flip settings, apply the change, then print the order sheet again from the Citrix session to confirm the logo is no longer mirrored.

Do we need to replace the logo inside the Allscripts template?

Usually no. If the logo looks correct in preview and on other printers, the order sheet template is fine. The problem lies in the printer driver or layout options, not the Allscripts logo image itself.

Will changing the printer driver affect other Allscripts forms?

Switching to a stable vendor PCL or PostScript driver that does not invert images should improve all Allscripts forms that include logos or letterhead. Always test on a non-production queue first to confirm fonts and layout are still acceptable.

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