Transfer a prescription

Switching to a CP Health Center Pharmacy is Easy! Simply fill out the form below, and we’ll take it from there.

Name

First Name

Last Name

Phone

(###)

###

####

Date of Birth

YYYY

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Which CP Health Center Pharmacy would you like to transfer your prescription to?

Current Pharmacy

Current Pharmacy Phone

(###)

###

####

Please list the prescriptions you want to transfer below.