Abstract: A folded medical outsert and method and apparatus for making same. The outsert consists of a printed sheet provided with a series of parallel fold lines. A first cross fold divides the sheet in half. Two off-center cross folds are then provided with an adhesive securing the last folded flap in place. The apparatus for folding the printed sheet includes a parallel folder and a cross folder to form the first and second cross folds. An adhesive applicator dispenses an adhesive before a knife folder performs the third cross fold. The method for forming the outsert includes the steps of forming a series of parallel fold lines. The first cross fold is then formed perpendicular to the parallel fold lines to divide the sheet into half. The second cross fold is then formed in the sheet following which an adhesive is dispensed onto the sheet. The third cross fold is then formed between the first cross fold and the second cross fold to provide a closed secured outsert.