Transfer Your Prescription File to Dales Pharmacy Today!

It’s easy to transfer. Simply fill out this form and we’ll handle the rest.

Name*
First Last
Date of Birth*
Email*
Phone*
Name of Your Current Pharmacy*
Address of Your Current Pharmacy*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Which Dales Pharmacy Location would you like to transfer your prescriptions to?*
By entering your email, you are consenting to receive occasional correspondence from us.*
I agree.