Order Prescription Refills Here! Note: We do not ship medication outside of Canada. Free 30 minute parking while filling your prescription!Name(Required) First Last Phone Number(Required)Email What is the best way for us to contact you? Phone Email Are you an existing customer of Marion Medical Centre? Yes No Are there any changes to your address, allergies, insurance information or your health? Yes No Update Address Address Buzz code City Province AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Postal code Leave blank for no changes.Describe allergies, insurance coverage or health changes:Address(Required) Address Buzz code City Province AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Postal Code Is this prescription refill or new prescription? New Prescription Prescription Refill Prescription Refill1 - Prescription Refill Number or Medication Name(Required)1 - Refill Quantity(Required)Please enter a number greater then or equal to 1.1 - Refill More(Required) + - 2 - Prescription Refill Number or Medication Name(Required)2 - Refill Quantity(Required)Please enter a number greater then or equal to 1.2 - Refill More(Required) + - 3 - Prescription Refill Number or Medication Name(Required)3 - Refill Quantity(Required)Please enter a number greater then or equal to 1.3 - Refill More(Required) + - 4 - Prescription Refill Number or Medication Name(Required)4 - Refill Quantity(Required)Please enter a number greater then or equal to 1.4 - Refill More(Required) + - 5 - Prescription Refill Number or Medication Name(Required)5 - Refill Quantity(Required)Please enter a number greater then or equal to 1.New PrescriptionUpload prescription(s)(Required)Note: Original prescription is required by pharmacy. Will only fill the prescription when receiving the Original. Drop files here or Select files Accepted file types: pdf, jpg, png, Max. file size: 5 MB. Transfer Prescriptions InformationIs there a prescription that you would like to transfer from another pharmacy?(Required) Yes No How many prescriptions do you need to transfer?(Required)123451 - Where was your Prescription Filled?(Required)Name and street of pharmacy1 - What is your Prescriber's Name?(Required)1 - Name or Prescription Number of Medication(Required)1 - Pharmacy Telephone Number2 - Where was your Prescription Filled?(Required)Name and street of pharmacy2 - What is your Prescriber's Name?(Required)2 - Name or Prescription Number of Medication(Required)2 - Pharmacy Telephone Number3 - Where was your Prescription Filled?(Required)Name and street of pharmacy3 - What is your Prescriber's Name?(Required)3 - Name or Prescription Number of Medication(Required)3 - Pharmacy Telephone Number4 - Where was your Prescription Filled?(Required)Name and street of pharmacy4 - What is your Prescriber's Name?(Required)4 - Name or Prescription Number of Medication(Required)4 - Pharmacy Telephone Number5 - Where was your Prescription Filled?(Required)Name and street of pharmacy5 - What is your Prescriber's Name?(Required)5 - Name or Prescription Number of Medication(Required)5 - Pharmacy Telephone NumberAdditional InformationComment or Special InstructionsType(Required) Pick Up Delivery Delivery Time(Required) 1:00 PM - 6:00 PM 6:00 PM - 10:00 PM Please confirm for deliveryConsent(Required) I confirm the address, buzz code, and phone number are correct. CAPTCHA