613-938-9885
Fax: 613-938-1171
info@arrowheadpharma.ca
Mon. - Fri. 9:00 - 17:00
Home
PRESCRIPTIONS
FILL NEW PRESCRIPTIONS
REFILL PRESCRIPTIONS
TRANSFER PRESCRIPTIONS
SYMPTOMS
SERVICES
HEALTH CONSULTATION / PRESCRIBE MEDICATIONS
FREE MEDICATION REVIEW
FREE COMPLIANCE / BLISTER
FREE BLOOD PRESSURE CHECK
RESOURCES
CONTACT US
STAFF ONLY
WEBMAIL
FILL NEW PRESCRIPTIONS
First Name:
*
Last Name:
*
Phone Number:
*
Street Address:
*
Unit Number (If Applicable):
State / Province:
*
Postal / Zip Code:
*
Email address:
Prescription Number 1:
Prescription Number 2:
Prescription Number 3:
Prescription Number 4:
Prescription Number 5:
Prescription Number 6:
Prescription Number 7:
Upload Prescription (Optional):
×
Drag and drop files here or
Browse
We support jpg, jpeg, png, gif, pdf
How would you like to receive your medications?
*
Delivery
Pickup
Preferred Date / Time:
*
Additional Instructions (Optional):
Terms of Service
*
I agree with the
terms of transferring my personal data electronically
. And I have read the
consent to use electronic communications
.
Submit
reCAPTCHA Invisible
*
First Name
Home
PRESCRIPTIONS
FILL NEW PRESCRIPTIONS
REFILL PRESCRIPTIONS
TRANSFER PRESCRIPTIONS
SYMPTOMS
SERVICES
HEALTH CONSULTATION / PRESCRIBE MEDICATIONS
FREE MEDICATION REVIEW
FREE COMPLIANCE / BLISTER
FREE BLOOD PRESSURE CHECK
RESOURCES
CONTACT US
STAFF ONLY
WEBMAIL