Your name Your email Your phone Service Required —Please choose an option—Blister PackagingBlood Sugar MonitoringCompoundingCurbside PickupFree Blood Pressure MonitoringFree Flu ShotsFree Prescription DeliveryNew PatientMedication ReviewsOn Site Virtual DoctorPharmacist Home VisitsPrescription RefillsRapid Strep TestingSmoking CessationVaccinationsVeterinary Medicine Healthcare number Delivery address Packaging options 4 Week Blister Packs13 Week Blister PacksBiodegradable MedicationChildproof Bag I am aware that the biodegradable medication bag is NOT Childproof! Upload Rx #1 Upload Rx #2 Upload Rx #3 Required Medication Do you require counselling on your prescription refills? Yes, please call me with each refillNo, please do not call me. Your message (optional) By entering the above information, I am consenting to the Langford Pharmacy staff have access to my personal health information. I also authorize Langford Pharmacy staff to contact me, my doctor and/or the transferring pharmacy for further information regarding my prescription. Langford Pharmacy will not be liable for technical failures, incomplete, scrambled or delayed transmissions and/or technical inaccuracies
