Prescriptions To Be Transferred
Please provide the prescription (RX) number for each prescription you would like to transfer to Dufferin Gate Pharmacy.
Important Notice
Dufferin Gate Pharmacy is committed to protecting the privacy of our customers’ information. Any and all information provided on this form will be kept strictly confidential. By submitting this form you are giving consent for a Dufferin Gate Pharmacy representative to contact the transferring pharmacy indicated to complete your prescription transfer request. Prescription transfers occur digitally or via email, and Dufferin Gate Pharmacy may use third party service providers to facilitate a prompt transfer.
