Prescription Transfer

*Pharmacie Marc-André Couturier Inc*

To transfer prescription(s) or file* simply complete the request form below or call us at 514-937-2891.

(*By law, not all prescriptions can be transferred)

Easily transfer any prescription(s) from your current pharmacy to Pharmacie Westmount (Legal Name : Pharmacie Marc-André Couturier Inc).
Fill out the required information below to begin the process. Please note that it may take up to one business day for your prescription to be transferred. Once the transfer is completed we will contact you in order to further process your request.

 

I am aware of the pharmaceutical services offered by Pharmacie Marc-André Couturier Inc and I agree to transfer my patient file including my active and expired prescriptions, my insurance coverage, my pharmacotherapeutic history and the name and license number of the prescribers in my file.
 
I understand that this transfer form gives Pharmacie Marc-Andre Couturier Inc consent to contact my pharmacy to complete the transfer. This decision has not been imposed on me and I remain free to change pharmacies at any time if I am no longer satisfied. In this case, this authorization would no longer be valid.