Order your Prescription

Please leave your repeat prescription into our pharmacy and ask a member of our team to put it on file.

Once we have your prescription, please fill out the order form below to get your prescription refilled. We will have your prescription ready in store within 24 hours.

*  Required fields

    First Name *


    Last Name *


    Address *


    Phone *


    Email *


    Medical Card Number


    Date of collection *

    Additional Comments

    Products Required:

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