Affordable Medicine That You Can Trust

Order Forms

Existing Customers

New Customers

For Order Forms, please click
"Existing Customers" or "New Customers",
whichever applies to you.
Then download and print the form.
Fill out the Order Form completely and send it
to the pharmacy along with your prescription.

The mailing address and toll-free fax number to use when sending your order to the pharmacy can both be found on the "Contact Us" page as well as the "How To Order" page.

_____________________________________________________________

If you are unable to print these PDF forms and would like to have them mailed to you, please contact us at forms@canadiandrugsbymail.com, including your mailing address, and we will be glad to mail them to you right away.

You need Adobe Reader to view these forms. If you do not have it, click the
"Get Adobe Reader" button below to download Adobe Reader and print Order forms.