Transfer – Pacific Prescriptions & Medical Supplies

Prescription Transfer

You do not need to log in or sign up to use this service. Complete the fields below and submit the form. We will contact you when your prescriptions are ready.

Name *

First

Last

Verification of Identity using your BC Health Services Card and/or Primary and Secondary Identification will be required

Cellular or Personal Phone Number *

Please enter your 10 Digit Phone Number

Current Pharmacy *

Current Pharmacy Phone Number *

Please enter the 10 Digit Phone Number

Delivery Preference *

Pick Up
Curb Side Pick Up (Free)
Delivery (Free Local Delivery)

Delivery services will be arranged after your prescriptions are ready, usually the next business day. Consider touchless payment options

Prescription Number 1:

Enter Each Prescription Number on ONE line as they appear, usually on the TOP LEFT hand side of the Pharmacy Label on your medication container. If unable to locate, please type medication name.

Prescription Number 2:

Prescription Number 3:

Prescription Number 4:

Prescription Number 5:

Prescription Number 6:

Prescription Number 7:

Prescription Number 8:

Prescription Number 9:

Prescription Number 10:

Enter Each Prescription Number on ONE line as they appear, usually on the TOP LEFT hand side of the Pharmacy Label on your medication container. If unable to locate, please type medication name.

Special Instructions

Please include any special instructions