Prescription Renewal Request Form
*Please note that this form is only for patients of the Bancroft Family Health Team.
Before submitting your request, please remember:
- to check your medication bottles to see if you have any repeats left.
- if you have already requested a medication, it may already be waiting for you at the pharmacy.
Use this form to request medication renewals. We need your name and date of birth to confirm your identity. If your prescription is not at the pharmacy within 2 to 7 days, please call the clinic.