Transfer Your Prescriptions

Transfer Prescription

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Full name

Phone number

Date of birth (optional)

Pharmacy name

Pharmacy phone (optional)

Pharmacy address (optional)

Which prescriptions? All my medications Specific medications

Medication names or Rx numbers (optional) If transferring specific medications, list them here, one per line.

Notes (optional)

We call your pharmacy and handle the transfer for you — nothing else to do. Questions? Call 905-290-0881.

3465 Platinum Dr. unit 81 Mississauga, Ontario L5M 2S1, Canada

Phone: 905-290-0881
Fax: 289-721-2507

info@zcanpharmacy.com