Prescription Transfer

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We provide seamless solutions to assist you in transferring your prescriptions effortlessly to our pharmacy.

To transfer your prescriptions here, please fill out the form below

Prescription Transfer Details:

First Name*

Last Name*

Date of Birth*

Street Address*

City*

State*

Zip Code*

Phone Number*

Email Address

Any Drug Allergies?*

Yes

Drug Allergies

Medical or Chronic Health Conditions

Current Medication List (including over-the-counter and herbal)*

Transferring Pharmacy*

Pharmacy Phone Number*

Do you want your all of your prescriptions transferred here?*

Yes

If no, which medications do you want transferred?

New Field:

Free Text

I consent to receive text messages about refill reminders, account notification and any relevent information from Bell pharmacy at the phone number I provided. I acknowledge that my consent is not a condition of purchase. Msg & data rates may apply. MSG frequency varies. Reply HELP for assistance or STOP to opt out of receiving messages. Privacy Policy & Terms.

New Field:

Free Text

I consent to receive marketing text messages, such as Promotional offers, Discounts and Sales Events from Bell pharmacy at the phone number I provided, including messages sent via auto dialer. I understand that my consent is not a condition of purchase. Msg & data rates may apply. Msg frequency varies. Reply HELP for assistance or STOP to opt out of receiving messages. Privacy Policy & Terms.