New Prescription Delivery "*" indicates required fields Your first and last name (required) Your date of birth (required) MM slash DD slash YYYY Email PhoneAttach 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 deem relevant to filling the prescriptionPlease select the prescription retrieval mode:* Will go to branch Delivery * I understand that I must without exception return the original paper prescription to the pharmacist before receiving the medication that is prescribed Contact us Call Us (514) 694-4087 Our Location 1 Holiday Ave #155, Pointe-Claire QC H9R 5N3 Name First Last Email Message