Prescription Refill Appointment

Prescription Refill Appointment

Prescription requests are processed within 3 hours after your appointment.Please provide accurate medication details and required proof.Working Hours: 9:00 AM – 5:00 PMRefunds: A $20 fee is deducted for administration and payment gateway charges.
Full Name*

First NameLast Name
Phone*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Address*

Street Address

CityState / ProvincePostal / Zip Code
Date of Birth*

MonthDayYear
Date
Reason for Prescription Refill - Please Note: We do not refill controlled medications.*
Up to 3 medications $60
Requirements: Proof of current use of the requested medication is required, such as a photo of the prescription bottle or medication packaging.

Accepted: PDF, DOC, DOCX, JPG, JPEG, PNG, GIF
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Medication Refill Fee: $60 for up to 3 medications*

Prescription Refill

Request and receive your official Prescription Refill after your appointment.

$60.00CAD

Total

$0.00CAD