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2157 Royal Windsor Dr
Mississauga ON L5J 1K5

1-800-701-5262

Submit Your Prescription
One of our staff will contact you within 24 hours.
Full Name*
Email Address*
Do you have a prescription?*
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If you have a prescription, attach a very clear photo or scan of your prescription
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Accepted file types: jpg, gif, png, pdf, jpeg, Max. file size: 256 MB.
Accepted file types: jpg, gif, png, pdf, jpeg, Max. file size: 256 MB.
Patient's Date of Birth*
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Street Address*
City & Province*
Postal Code*
Phone Number*
Allergies to medications?*
Questions?*