Ordering Prescriptions From Canada - Patient Information Forms
canadian prescription drugs
Canadian prescription drugs
 
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Canadian Prescription Drugs > Request Forms via MAIL

Canadian Prescription Drugs

Request Forms via MAIL

Before ordering prescription drugs from Canada, you will need to fill out the patient information forms which ask a few questions about you and your medical history which is necessary to fill your prescriptions in Canada. If you have any questions about the forms once you have received them, call us toll free 1-866-885-1866 and we will assist you!

Please enter a mailing address below and click Send
and we will send you our Patient Information Forms
by mail.

Name:
Street Address:
City:
State:
Zip Code:
Number of copies:
Or call us toll-free 866-885-1866
for brochures and patient information forms.

 


Please Note:
Quality Prescription Drugs facilitates the review of your prescriptions and your medical health by a licensed Canadian physician and forwards all prescriptions to an affiliated certified and licensed Canadian pharmacy to be filled.
Pharmacists available from 9am - 5pm PST Monday - Friday

 



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