Dear Customer,

In an effort to focus our attention on providing live customer service, we are no longer accepting orders over the internet. You will be pleased to know that we have upgraded our Patient Services Team and have full-time staff standing by to take your orders, answer your questions and attend to your concerns.

We encourage you to call us at 1-866-934-9759 and place your order directly with one of our Patient Service Representatives. You can also call us to check prices, get information and check on the current status of any order.

If you would like to order by fax, you can print out the forms below and fax them to us at 1-877-951-1156; however, you still must call us for pricing prescription information.

We thank you for your continued business and loyalty, as we look forward to providing you with an even higher level of customer service!

Sincerely,
CanadaMedConnect
 

To order by fax Please download, complete and fax these forms to us at 1-877-951-1156.
	Customer Agreement Please read carefully and sign. This form must be completed before you can register or order medications; however, it only needs to be done once.
	Patient Questionnaire This form tells us about you and helps our pharmacists and doctors determine the medications that are best for you.
	How to Order This form describes the ordering process and provides important details you need to be aware of.
	Order Form After searching our medication database, use this form to place your order.
	Prescription Fax Form Attach your original prescriptions to this form and fax it in to us. (Remember, after faxing, you must mail us the originals.)