DSCatalyst design system
TenantRexall

Transfer prescriptions

ReviewAlmostGenerated by migration pipeline
17 regionsBrand 0
Transfer prescriptions editable migration12 columns · Desktop · 12/12 filled
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How to transfer your prescriptions.

Form surface/content/forms/transferPrescription/transfer-form-intro

Transfer Prescriptions using Request Form

Complete the form to transfer your prescriptions

Form surface/content/forms/transferPrescription/transfer-patient-information-fields

Patient Information

Form surface/content/forms/transferPrescription/transfer-sending-pharmacy-section

Transferring Pharmacy Location

Form surface/content/forms/storeLookup/transfer-receiving-pharmacy-search
Form surface/content/forms/transferPrescription/transfer-prescription-choice

Prescription(s) to be Transferred

Would you like to transfer all prescriptions?
If no, Rexall will ask for the specific prescription details needed to complete the transfer.
Form surface/content/forms/transferPrescription/transfer-important-note-submit

Important Note

Rexall is committed to protecting the privacy of our customers' information. Any and all information provided on this form will be kept strictly confidential in accordance with our privacy-policy.

By submitting this form you are giving consent for a Rexall representative to contact the transferring pharmacy indicated to complete your prescription transfer request. Prescription transfers occur digitally or via facsimile, and Rexall may use third party service providers to facilitate a prompt transfer.

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