Prescription Transfer

To transfer prescription(s) online, simply complete the Transfer Request form below.

Fill out the required information below to begin the process. Please note that it may take up 24 to hours for your prescription to be transferred.


Patient Information


First name

Last name

Date of birth

Street address

City

Province

Phone number

Transfer from


Medications (list each medication or specify 'all')

Pharmacy name

Pharmacy phone number