Prescription Refills

Refill your prescriptions quickly and easily by filling out this online form.

Contact Information
Name *
Phone *
Which prescriptions can we fill for you today?
Which would you prefer? *


Prescription / File Transfer

Joining us at Custom Care Pharmacy & Compounding Centre is easy.

Simply fill out this online form and we will transfer your prescriptions for you.

Pharmacy Information
Contact information
Your Name *
Your Name
Your Phone Number *
Your Phone Number
Prescription Information