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.
Unfortunately, T-Mobile phones are unable to accept our messages.

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.**