If this is your first time getting this medication from our pharmacy, please fill out the form below and upload a picture of the original prescription. You must also save the original prescription, and bring it to the pharmacy with a piece of ID when you come to pick it up.
You do not need to fill out your address if you are an existing patient. However, if you are a new patient to us, please be as detailed as possible.
Simply fill out the form below if you would like to transfer your prescriptions to this pharmacy. By submitting this form, you are consenting to have Oasis Drug Mart inquire about your health information on your behalf.