Refill my Prescriptions

Please fill out the form below and we will prepare refills of your prescription(s).

Currently getting your prescriptions somewhere else?

Give us a call at 519-744-8989 or fill out the form below to refill your prescriptions. If you require an urgent refill, please call us directly.

Note: Fields marked with an * are required.

Prescription Refill Request

First Name*

Last Name*

Phone Number*

Year of Birth*

Which prescriptions would you like us to fill? (please enter the "Rx" number)*

When should it be ready for?

Please choose an option:* Please choose an option:* Pick-up Delivery

Preferred contact method:* Preferred contact method:* Phone Email

Email Address*

Is there anything else you would like us to know?

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Frequently Asked Questions

Do you have parking?

Yes! You can currently park on Bramm St. There is also parking available at the front of the pharmacy and behind the red house next to the pharmacy.

If you would like more information, feel free to give us a call at: 519-744-8989.

Do you offer service in different languages?

Absolutely! We are proud to offer services in 5 different languages:

English
French
Farsi
Urdu
Hindi

Give us a call, send us an email, or drop by the pharmacy. We are excited to meet you!

Transfer Prescription Request Form

First Name*

Last Name*

Phone Number*

Date of Birth (i.e. Jan. 1, 2022)*

Would you like us to transfer all of your prescriptions:* Would you like us to transfer all of your prescriptions:* Yes No (please indicate below)

Which prescriptions would you like us to transfer (please type the name of the products)?*

Name of Current Pharmacy*

Phone Number of Current Pharmacy

Address (or Nearest Intersection) of Current Pharmacy*

Please choose an option:* Please choose an option:* Pick-up Delivery

Preferred contact method:* Preferred contact method:* Phone Email

Email Address*

Is there anything else you would like us to know?

I agree to the Victoria Wellness & Pharmacy Terms / Conditions:* I agree to the Victoria Wellness & Pharmacy Terms / Conditions:* I agree for Victoria Wellness & Pharmacy (130 Victoria St. S, Kitchener, ON N2G 2B5) to transfer the prescription(s) above per the Ontario’s Drug and Pharmacies Regulation Act (DPRA), Food and Drug Regulations, Narcotic Control Regulations and Benzodiazepines and Other Targeted Substances regulations and guidelines Regulation act. Click to learn more

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