Transfer Your Rxs - McDonald Pharmacy

If you would like to transfer your prescriptions to McDonald Pharmacy, please fill out the form below and we will be in contact with you to arrange for your transfers and their next fills here at Jeffreys.

Transfer rx

We will contact your pharmacy to get your prescriptions. If you need more than (4) rxs transferred, please fill out a second form.

Name
First Last
DOB
MM slash DD slash YYYY
Home Phone
Full Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Current Pharmacy Name
Current Pharmacy Phone Number
Current Pharmacy Address
Street Address City State ZIP Code
1st Rx# or Medication Name
2nd Rx# or Medication Name
3rd Rx# or Medication Name
4th Rx# or Medication Name
Best phone # to contact you back
Captcha