• Update my information

    Step 1 of 5: Your pharmacy. About 2 minutes.

  • New to OnPoint? Use the new patient form instead.

    Not for emergencies. If you are out of a medication today, call your pharmacy. For a medical emergency, call 911.

  • About you

    Step 2 of 5. Use the details we have on file now, so we can find your record.
  • Date of birth*
     - -
    2 digit month, 2 digit day, 4 digit year
  •  -
  • Format: (000) 000-0000.

  • What changed?

    Step 3 of 5. Check everything that applies. We only ask about what you check.
  • What would you like to update?
  • Personal details
  • Insurance and cost
  • Care information
  • Pharmacy preferences

  • A few details

    Step 4 of 5. Only the sections for what you checked appear here.

  • Your new contact details

  •  -

  • We will update your record to the best number you gave in step 2.

  • Your new address

  • Have you moved already?
  • Moving date
     - -
  • Do you have a delivery coming up?

  • New prescription insurance

    A photo of the front and back of your card is enough.
  • How do you want to share the new card?*
  • Upload a File
    Drag and drop files here
    Choose a file
    Cancelof
  • Date the new coverage starts
     - -
  • Does this replace your old plan or add to it?
  • Do you also have a second plan or a copay card?

  • Second plan or copay card

    Type the details or upload a photo of the card.
  • Upload a File
    Drag and drop files here
    Choose a file
    Cancelof

  • A copay that is too high

  • Would you like the pharmacy to look into it?

  • Report a medication change

    Sending this does not change your prescription. Your pharmacist reviews it and checks with your doctor if needed.
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof

  • New or different doctor

  • Allergies

  • Automatic refills

  • Would you like automatic refills?

  • Transfer from another pharmacy

  • Format: (000) 000-0000.

  • Something else

  • Review and send

    Step 5 of 5.

  • Sending to: {store}

    Your request

    Name {name}
    Best number now {best_phone}
    Email {email}
    Contact by {contact}
    Personal details {g_personal}
    Insurance and cost {g_ins}
    Care information {g_care}
    Preferences {g_pref}
    New address {address}
    Pickup or delivery {fulfil}
    Automatic refills {autorefill}
    Preferred store {pref_store}

    Blank means it did not apply or you skipped it. To change anything, use Back.

    What happens next

    • The pharmacy team at that store reviews your request, then updates your record.
    • They text or call you if anything is unclear.
    • Need a medication today? Call the store instead of waiting on this form.
  • Should be Empty: