Transfer Prescription - ScaleRx

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Transfer Prescription Online

Patient Information

First Name: (required)

Last Name: (required)

Date of Birth: (required)

Your Phone Number: (required)

Your Email: (required)

Your Full Address: (required)

City: (required)

Postal Code: (required)

Pharmacy Name – Where it was filled at: (required)

Pharmacy Phone: (required)

Prescriptions to be transferred

Prescription # from current pharmacy:

Name Of Medication:

Prescription # from current pharmacy:

Name Of Medication:

Prescription # from current pharmacy:

Name Of Medication:

Prescription # from current pharmacy:

Name Of Medication:

Prescription # from current pharmacy:

Name Of Medication:

Select the location of the pharmacy:

If you would like to transfer all your prescription, simply check the box below:
Transfer All My Prescriptions

By clicking the Submit Now button, you consent to have your prescription(s) transferred to ScaleRx.

ScaleRx is an independently owned and operated pharmacy with convenient and easy to access pharmaceutical solutions.

Unit 400 2620 Bristol circle
Oakville On L6H 6Z7
905-291-7970
1-833-333-1435

©2023 by ScaleRx All rights reserved.
Website Designed by AppGen Studio

©2023 by ScaleRx. All rights reserved.
Website Designed by AppGen Studio