Getting your prescription refills is easier than ever. Simply complete the online form below. Prescriptions will be ready for you to pick up in just 24 hours!
If you need your prescription delivered, please write 'Delivery' in the comments section.
[ * indicates required fields ]
First Name*:
Last Name*:
Address:
City:
Province:
Postal Code:
Telephone Number*:
Alternate Telephone Number:
Email Address*:
Prescription
Number(s) / Name(s)*:
Comments:



The Village Pharmacy is accredited and is a member of a regulated profession governed by the Ontario College of Pharmacists.