Which Cheek & Scott Location do you want to Transfer to:
Patient Date of Birth
Contact Phone Number
Is this a Cell Phone?
What Cellular Carrier is this Phone?
Examples: Verizon, AT&T, Sprint, T-Mobile, Cricket, etc...
Do you want to receive SMS Text Notifications on this number when your RXs are Ready?
No, thank you.
Would you like to receive an automated voice call when your RX is ready?
Would you like to receive an Email when your RXs are ready?
Name of the Pharmacy you are Transferring FROM?
Example: Walgreens, CVS, Walmart, etc...
Phone number of the Pharmacy you are Transferring FROM?
One RX number per line
Should be Empty: