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Download Canadian Pharmacy Discount Drug Forms

Discount Prescription Drug Order Form

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If you would prefer not to order online at jandrugs.com, you can simply fill out our Order Form and fax us your information.

Please note: It is not necessary to download and complete this form if you have already placed an order online.

Order Form (.pdf format)

Orden de Compra (en español) (.pdf format)

Discount Prescription Drug Transfers

If you will be transferring your prescription from another pharmacy please fill out our Rx Transfer Form and fax it to us.

Rx Transfer Form (.pdf format)

Pet Medications/Order Form

Very similar to our "Patient Questionnaire" but for your pet's medications. Just fill in your pet's information and fax it to us.

Pet Med Order Form (.pdf format)


You will need Adobe Reader to view and print these forms. If you do not have Adobe Reader you may download a copy here.

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