Transfer Your Prescription
Send your request and our pharmacy team will contact you to complete the transfer securely.
Please do not include insurance numbers, ID numbers, or payment information in this form.
Provide your name, date of birth, phone number, current pharmacy information, address if helpful, and medication names if known.
Full Name
Date of Birth
Phone Number
Current Pharmacy Name
Current Pharmacy Phone
Address (optional)
Medication Names (optional)
List medication names only when possible.
I consent to be contacted by Raees Pharmacy regarding my prescription transfer request.
Submit Transfer Request
Call Pharmacy
WhatsApp Us