Thank you for downloading the Canada Rx Connection Prescription Refill Form:

If you are an existing patient of Canada Rx Connection and have previously received an order:

• please call in your REFILL NUMBER toll-free to (866) 247-2323. If you reach our answering service feel free to leave your name, phone number and REFILL NUMBER and we'll return call shortly confirming receipt of your REFILL.

OR

If your download does not automatically begin in:
5 seconds...

Click here to download refills form

Then fax it to us toll free 1-866-896-7099 or mail it in to our address below:

Canada Rx Connection
1203 Richard Ave
Winnipeg, Manitoba
R3E 3H3 Canada

If you have any questions, please contact us toll free at 1-866 247-2323 or e-mail us at info@canadarxconnection.com.