Prescription Refill

Request a Prescription Refill

Easily request a refill for your existing prescription at pharmacy location:

17725 Yonge Street – Unit 8
Newmarket ON L3Y 7C1
Canada

Important Disclaimer

Submitting this form does not guarantee an immediate refill.
Your request will be reviewed, and a pharmacy team member will contact you to confirm the refill details within 24-48 hours.
Do not use this form for urgent requests or new prescriptions.

Prescription Refill Form

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This field is for validation purposes and should be left unchanged.

Patient Name(Required)

First Last

Contact Phone Number(Required)

Your Email Address(Required)

Prescription Numbers

Please separate prescription numbers with commas

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