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Do you live in Longueuil (QC)?
Discover our services in pharmacies or at home

Do you live in Longueuil (QC)? Discover our pharmacy and homecare services

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service

Refill my prescriptions

Are you already a pharmacy customer? Fill out this form to request a renewal of your medication. Simply provide the name and quantity you need. Once the online form is completed, you will receive a message with a link to our calendar, allowing you to schedule an appointment to finalize the service.

To minimize the risk of unforeseen events, it may be beneficial to let us handle the planning of your regular medication service. Feel free to reach out for more information on this option.

Administrative Information - General Details

Are you already a client of our pharmacy? (required)
Yes
No
Date of birth (required)

Renew my medications

This information will remain strictly confidential and will be added to your file.

Have there been any recent changes to your health status? (required)
Yes
No
Do you have any new medication allergies? (required)
Yes
No
Are you experiencing any side effects related to your medications? (required)
Yes
No
Do you have any questions or additional details to provide regarding this request? (required)
Yes
No

All information collected in our forms is strictly confidential and used only in the context of the services we offer you. We respect and comply with applicable data security standards and laws, including Quebec's Bill 25. Rest assured that your information will never be shared or sold to third parties without your explicit consent. Your trust is our priority.

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