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Transfer form

Transferring prescription to HomeTowne Rx pharmacy is very simple. We will need a signed Transfer form from you, and leave the rest on us.

Download Pharmacy transfer form

Fill in details

This information is important for the process; please fill in required details and sign the transfer form.

Email to us

Email the filled and signed off form to us. Our customer service will contact you within 48 hours of receiving your prescription transfer request.


Need help? Call 1-844-838-2882