New Prescription Delivery

Please complete the form on the right to send us your new prescription received from your treating doctor.

New prescription

Full Name

Date of birth

Courriel (Optional)

Phone

Attach a photo of your new prescription Accepted file types: jpg, gif, png, pdf, doc, docx, Max. File Size: 5 MB.

Provide the pharmacist with any information you consider relevant to filling the prescription (Optional)

Please select prescription pickup method (Optional) Will go to branch Delivery

I understand that I must without exception return the original paper prescription to the pharmacist before receiving the prescribed medication.

Send