THANK YOU FOR CONSIDERING TRANSFERRING YOUR PRESCRIPTIONS

TO TRANSFER YOUR PRESCRIPTIONS PLEASE CONSIDER ONE OF THE FOLLOWING OPTIONS:

  • WALK IN TO OUR FAMILY PHARMACY WHERE WE CAN HELP GET DETAILED INFORMATION ABOUT YOUR MEDICATIONS. PLEASE BRING IN YOUR OLD PILL BOTTLES.
  • CALL US AT 651-600-3988 AND OUR WONDERFUL STAFF WOULD BE HAPPY TO ASSIST YOU.
  • BY SUBMITTING THIS FORM YOU ALLOW ‘OUR FAMILY PHARMACY, LLC’ TO TRANSFER YOUR MEDICATIONS

PLEASE HAVE THE FOLLOWING READY WHEN TRANSFERRING YOUR PRESCRIPTIONS:

  1. FIRST AND LAST NAME
  2. DATE OF BIRTH
  3. ADDRESS
  4. PHONE NUMBER
  5. PHARMACY INSURANCE INFORMATION
  6. PHONE NUMBER OF THE TRANSFERRING PHARMACY
  7. MEDICATIONS YOU WISH TO TRANSFER

**AFTER SUBMISSION OUR FAMILY PHARMACY STAFF WILL CONTACT YOU VIA PHONE WITHIN 24 HRS. PLEASE CALL IF YOU HAVE NOT RECEIVED A CALL AFTER 24 HOURS.