Click on your choice of:

Option #1: Complete Over the Counter Order Form Online

This online printable order form does not process your order online. It allows you to complete a printer friendly version of the order form online. Once you have completed filling out the order form online you will print and sign the order form and fax or mail it to us.

Step 1:

Step 2:

Fax to:

Mail to:

*(please note that your order will take longer when mailed)

Option #2: Print Over the Counter Order Form & Complete By Hand

This order form requires you to print the order form from your computor and complete by hand. Once you have completed the order form you will sign and fax or mail it to us.

Step 1:

Step 2:

Step 3:

Fax to:

Mail to:

*(please note that your order will take longer when mailed)

Charges:
There is a flat rate shipping fee of $9.95 U.S. on each order.
(We do not ship narcotics or controlled substances).
Please allow 7- 14 business days from the time that we receive your prescription.