Alice Hope MD Online Medical Services

Full name

Email

Phone Number

Birthdate (if first time using our pharmacy)

File upload

To fill a new prescription please upload a full clear image of the prescription and provide any additional information below.

Please provide any additional comments

Prepare

Delivery

Pick up

Preferred contact method (if applicable)

Phone

Email

I understand that Ontario law requires the dispensing pharmacy to maintain the original prescription. I confirm I will maintain my original prescription for pharmacy collection.

Your order will be processed during business hours. Depending on inventory, your order may be delivered on a different day. If you have an urgent request, please call the pharmacy during business hours.

New Prescriptions

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