Sending Prescriptions

Send your documents to our pharmacy staff

Please fill out the following form and attach your electronic prescription or document.
Please, keep your original prescription; our staff will ask for it later in the process.

    Upload file (prescription, medical justification, or other documents) *
    Allowed file types: .jpg, .jpeg, .png y .pdf
    Maximum file size: 6 MB
    IMPORTANT: Documents sent as an image format must be complete and fully legible.
    Please state whether you are: *
    (*) Required field