Transfer my file * to Stéphanie La Buissonnière Pharmacy Inc.

1. How can we contact you? (fill out the form with your info)

2. A pharmacy employee will contact you to proceed with the transfer of your file!

3. Read the terms and conditions below.

I have read and understood the pharmaceutical services offered by the Stéphanie La Buissonnière Pharmacy and I agree to transfer my prescriptions hither. I understand that this form will be sent to my current pharmacist so that he can take note of my consent. This decision was not forced on me and I remain free to change pharmacy at any time if I am no longer satisfied with the conditions. In this case, this authorization would no longer be valid.

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Stéphanie La Buissonnière Pharmacienne Inc.

Transfer my file * to Stéphanie La Buissonnière Pharmacy Inc.

1. How can we contact you? (fill out the form with your info)

2. A pharmacy employee will contact you to proceed with the transfer of your file!

3. Read the terms and conditions below.

Any questions ? Call us at (819) 776-1555.

* Certain conditions apply. Ask your pharmacist for more information .