Transfer My Prescriptions

It’s easy! Fill out the information below and we’ll take care of the rest. Your relevant health information and drug plan information will be provided to us by your current pharmacy.

We’ll call you to let you know when the process is complete!

Thanks for supporting your local pharmacy!

Which location would you like to transfer your prescriptions to?

Name

First

Last

Date of Birth

Home Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone Number

Do you have any allergies

Yes.

No.

Please list all known allergies below.

List your current pharmacy below

Please Include Street Location if there are multiple locations

Email Address

Any questions/concerns or special requests?

Would you like to sign up for our monthly email newsletter?

Yes

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Transfer My Prescriptions

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Kakabeka Falls

Rosslyn