Send Prescription

Have a New Prescription? Send it Ahead

Save time waiting at the pharmacy! Upload a photo of your new paper prescription and any insurance cards. We will prepare your medication and let you know when it is ready for pickup.

Let's upload your prescription

Required fields are marked with an asterisk (*). Our team will follow up during business hours once we review your submission.

First Name*

Last Name*

Date of Birth*

Personal Health Number (optional)

PHN helps us match your prescription faster.

Phone Number*

Upload Your Prescription *

Securely upload a clear photo or document so we can prepare your medication before you arrive.

Prescription 1

Required so our pharmacists can validate your request.

Required

No file selected yet.

Upload Your Insurance Card (optional)

Adding your card now helps us process insurance coverage before pickup.

Insurance card 1

Optional but helps us verify coverage before pickup.

Front of card

Optional but speeds up insurance verification.

No file selected yet.

Back of card

Include if there are coverage notes on the back.

No file selected yet.

I understand that I must bring my original paper prescription to the pharmacy.

Notes for the Pharmacist (e.g., allergies, questions for the pharmacist)

Secure submission — data is encrypted and reviewed only by Heritage Pharmacy pharmacists.