Prescription Transfer

We provide seamless solutions to assist you in transferring your prescriptions effortlessly to our pharmacy.

To transfer your prescriptions here, please fill out the form below

Prescription Transfer Details:

First Name*

Last Name*

Date of Birth*

Street Address*

City*

State*

Zip Code*

Phone Number*

Email Address

Any Drug Allergies?*

Yes

Drug Allergies

Medical or Chronic Health Conditions

Current Medication List (including over-the-counter and herbal)*

Transferring Pharmacy*

Pharmacy Phone Number*

Do you want your all of your prescriptions transferred here?*

Yes

If no, which medications do you want transferred?

New Field:

Free Text

I consent to receive text messages about refill reminders, account notification and any relevent information from Bell pharmacy at the phone number I provided. I acknowledge that my consent is not a condition of purchase. Msg & data rates may apply. MSG frequency varies. Reply HELP for assistance or STOP to opt out of receiving messages. Privacy Policy & Terms.

New Field:

Free Text

I consent to receive marketing text messages, such as Promotional offers, Discounts and Sales Events from Bell pharmacy at the phone number I provided, including messages sent via auto dialer. I understand that my consent is not a condition of purchase. Msg & data rates may apply. Msg frequency varies. Reply HELP for assistance or STOP to opt out of receiving messages. Privacy Policy & Terms.

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Prescription Transfer Details:

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