Fax or mail your order

• Click here for Fax/Mail Order Form.


• Complete and sign the form and send to Purely Canadian Drugs with a copy of your original prescription(s). Your prescription(s) will be verified by Purely Canadian Drugs with your physician's office. We also require a copy of one of the following: driver's license, passport, military ID, or birth certificate.


• A Healthcare Specialist will contact you to confirm your order.