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.

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Allergies ( If Nothing Please Type None): (required):

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.
Maximum File Size: 10 MB.

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