New Patient Form
Use the form below to add or update your patient profile at Lee Drug Store.
If you want to add additional members of your family, please fill a separate form out for each family member.
Your cell phone number and cell phone carrier are required for us to send you text messages when your prescriptions are ready.
**If you need prescriptions transferred to Lee Drug Store, be sure to also fill out the TRANSFER MEDICINE form.**
Click “SUBMIT” after filling in the information.