For Prescription Refills & New Prescriptions – Fill Out The Form Below

Need prescription refills? Simply fill out the form below with the requested information and we will have your prescription medications refilled right away. It’s that easy!

We welcome all new customers. Transferring prescriptions to our pharmacy is simple. Just fill out the transfer information below and we take care of the rest.

Have a prescription? Just take a picture with your device and upload it below. We’ll pick it up when we deliver your medicine.

If you have any questions please Contact us

Note: We do note ship medication outside of Canada.

If you do have any trouble uploading your prescription using the form below please send us an email to dynastypharmacy@gmail.com and attach your prescription to the email.

[[[["field14","equal_to","New Prescription"]],[["show_fields","field16,field17"]],"and"],[[["field14","equal_to","Prescription Refill"]],[["show_fields","field28,field29,field31,field30"]],"and"]]
1 Step 1
What is the best way for us to contact you?pick one!
Are you an existing customer of Dynasty Pharmacy?pick one!
Is this prescription refill or new prescription?

New Prescription

Note: Original prescription is required by pharmacy

Transfer Prescriptions Information


Is there a prescription that you would like to transfer from another pharmacy?pick one!

Additional Information

Type

If you do have any trouble uploading your prescription using the form below please send us an email to dynastypharmacy@gmail.com and attach your prescription to the email.

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