Transfer Medicine

We can transfer your prescription from any pharmacy if you give us some information.

Keep in mind:

controlled substances may only be transferred ONE time
your prescription must be in date and have at least 1 refill

Fill in details below and we’ll get your medicine transferred as soon as we can.

**IF YOU ARE A NEW PATIENT, YOU MUST ALSO FILL IN A NEW PATIENT INFO FORM HERE.**

Your cell phone number and cell phone carrier are required for us to send you text messages when your prescriptions are ready.

Be sure to click “SUBMIT” after filling in the information. This information is sent directly to Lee Drug Store’s email address.

Name *

First

Middle

Last

Birthday *//

Cell Phone Number *

We can text you when your prescriptions are ready.

Cell Phone Carrier *

(AT&T, Verizon, etc.)

Pharmacy Information

Where are we transferring prescriptions from?

Pharmacy Name *

Pharmacy Location *

Phone Number *

Medication Information

Please add as much information about each prescription as possible. (E.g. Synthroid 1 mg, RX #7667256, Dr. Smith, 90 tablets). If you have more than 4 to transfer, add them in the "Anything else" field.

Medication *

Medication 2

Medication 3

Medication 4

Anything else?

**IF YOU ARE A NEW PATIENT OR HAVE NEW/UPDATED INSURANCE INFORMATION, YOU MUST ALSO FILL IN A NEW PATIENT INFO FORM HERE.**