Order Number

Transfer request

Patient Information

First Name *

Last Name *

Date Of Birth *

Contact Number *

Email Address *

Address

Province

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City

Postal Code

Transfer from

You can request a transfer of your prescription(s) from any Canadian Pharmacy to King City Medical Pharmacy.

Pharmacy Name *

Pharmacy Phone Number *

Medications

Transfer to King City Medical Pharmacy

By selecting this checkbox, you agree to have ALL your prescriptions and remaining refills transferred to King City Medical Pharmacy. By law not all prescriptions can be transferred. Speak with a member of our Pharmacy team for more details. By transferring your prescriptions, you also agree to the KCMP and Privacy Policy Terms of Use

Privacy Policy *

Information Summary