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Refills
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I am an existing customer of CanadianPharmacyNorth.com, and this refill is for a prescription previously ordered through CanadianPharmacyNorth.com If you prefer, please feel free to call in your refill request at toll free Or Call 1-877-592-9192 ext 1.

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Shipping Address
Last Name
City
Phone Number
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Informed Consent for Patient Counselling
All patients receiving prescriptions from a British Columbia pharmacy have the right to receive counselling from a licensed pharmacist.
Would you like a pharmacist to call and discuss your order with you?
Yes     No
Are you sending a new prescription to be processed with this order? 
Yes     No  
Did your mailing address or telephone number changed since the last order?
Yes     No   (if yes, please specify above)
Refills Requested
*Fields required to be filled for your request.
*Medication Name Drug Strength
e.g. 10 mg/ml
*Quantity
Number of tablets capsules, mls, etc.
Generic
Allow generic substitution


 

Thank you. The refill order will go for processing and can not be changed or stopped once submitted. Please be sure all of the information above is correct. A representative will contact you only if necessary. Please allow up to 14 days for the delivery of your order.

We will use the payment information that we have in your file. If there has been a change in your payment information, please call our toll free number 1-877-592-9192 ext 1.