Prescription Transfer

Transferring your prescriptions is easy! Call us for more details or simply fill out the form below to have it done right away.

    Please fill in all required fields.*
    Important notes: Please do not share any medical information.
    First Name*
    Last Name*
    Email*
    Phone Number*
    Birth Date*
    Mailing Address*
    City*
    Province*
    Postal Code*
    Existing Pharmacy*
    Pharmacy Phone Number*
    Comment