OPEN 7 DAYS A WEEK

Hours: Mon-Fri 10:30-7:30

Sat-Sun 11:00-3:00

Upload Prescriptions & Drug Plan Card (New Patients)

Disclaimer: By law we CANNOT RELEASE ANY PRESCRIPTIONS UNTIL WE RECIEVE THE ORIGINAL FROM YOU. This service is for your convenience only to have the prescription ready before hand.
NO NARCOTIC PRESCRIPTIONS will be accepted by this method. Thank you for your understanding.

Last Name *

First Name *

Email *

Date Of Birth *

Cell/Tel Number *

Street Number *

Street Name *

City *

Postal Code *

Allergies ( If Nothing Please Type None): *

Health Card Number

PLEASE DO NOT FORGET TO BRING ORIGINAL
Click On Each Button To Upload Photos Of Your Prescriptions And Insurance Card Allowed Types: jpg, gif, bmp, png, tif, pdf, tiff, jpe, jpeg. Please note that large files or multiple files may take a bit longer to upload depending on your mobile connection (fastest on WiFi). Please wait after you click on submit. A message will appear to confirm that your order has been sent.

Comments (SPECIAL PACKAGING, DELIVERY INSTRUCTIONS, ETC.):

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Please allow a moment for the page to upload before leaving this page. You will get a message once the message is sent successfully.