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Medical History

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1 Are you allergic to any medications?

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Medical History

Information about your health and previous treatments

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2 Do you currently take any prescription or over-the-counter medications?

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Medical History

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3 Is there anything important for the doctor to know about your health?

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Full Name (as on your ID)

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Gender

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You can find your Personal Health Number (PHN) on the back of your British Columbia driver's licence, usually printed near the barcode section.

MSP Card

Please provide your Personal Health Number (PHN)

Where do I find PHN number (Personal Health Number)?

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I do not have a PHN Card

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Upload your ID

Please upload a photo of your government-issued ID card that shows both your image and date of birth

Identification
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Upload a photo of your face

We are responsible for ensuring that your identification is appropriately verified before providing any pharmacy service that requires accessing, collecting, using, or disclosing personal health information.

Profile Image
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your image
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OR

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Your Medication

Select your medication

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Select your medication

    • Sildenafil (Generic alternative to viagra)

      • Tadalafil (Generic alternative to cialis)

        • Vardenafil (Generic alternative to levitra)

        *Pharmacy dispensing fee of $10 will be added on top of total charges.

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        Your Medication

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        Preview your information

        Medical history

        Medical history
        Do you have allergies to any medications?

        Your answer: 
        Do you currently take any medications, vitamins or supplements?

        Your answer: 

        Is there anything specific you want your doctor to know about your condition or health?

        Your answer: 

        Personal details

        Medical history

        Name: Date of Birth: Gender: Address: Province: Postal Code:

        Shipping Address Address: City: Province: Postal Code:
        Phone Number: PSN Number: Email:

        Personal Identity Detail: Upload Prescription

        Your uploaded face image: Upload Prescription

        Your Medication

        Medical history

        Your selected medication: Selected strength: Selected quantity: Selected: $ Fixed fee: $10

        No Medication:

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        Your Medication

        Select your medication

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        Dr. Arthur Vasquez [English]
        Family Physician
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        Kalea Nokleby NP(F) [English]
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        Dr. Olamipo Oluwakemi Bamigboje [English,Yoruba]
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        Dr. Daniel Obaseki [English]
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        Dr. Esosa Daniel Omoregie [English]
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        Virginia Burns NP(F) [English]
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        Navneet Kaur NP(F) [English]
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        Dr. Zain Ali Syed [English,Urdu]
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        Dr. Howard Koseff [English]
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        Dr. Judy Agnes Dercksen [English,Afrikaans]
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        Dr. Clasina Elizabeth Fourie [English,Afrikaans]
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        Dr. Waleed Khadher [English]
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        Dr. Waheed Kirmani [English,Punjabi,Urdu,Arabic]
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        Nadine Power NP(F) [English]
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        Dr. Onyeka Gabriel Ibe [English]
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        Dr. Payam Khalafi [English,Farsi]
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        Dr. Omobolade Morolayo Akinrolie [English,French,Yoruba]
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        Dr. Ann Chimerue Akabogu [English]
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        Dr. Ahmed Rashad Amer [English,Arabic]
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        Dr. Oluwatoyin Ogundele [English]
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        Dr. Sanaz Moradizarmehri [English,Farsi]
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        Dr. Mayooran Mahalingam [English,Tamil]
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        Dr. Tunde Samuel Omisore [English,Yoruba]
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        Dr. Muhammad Uzair Lodhi [English,Urdu,Hindi,Punjabi]
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        Dr. Joanne Chami [English,French]
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        Dr. Amarachukwu Igbom [English,Igbo]
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        Dr. Chimdimma Favour Eze [English]
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        Dr. Oluwasola Stephen Ayosanmi [English]
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        Dr. Christian Obinna Ozulumba [English]
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        Dr. Arman Singh [English]
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        Dr. Deepak Murthy [English,Hindi]
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        Dr. Omosomi Esebameh [English]
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        Dr. Clement Belanger Bishinga [English,French]
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        Dr. Ifeoluwa Osinowo [English]
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        Monica Anderson NP(F) [English]
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        Dr. Mohammad Reza Nakhaei [English,Farsi]
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        Rachel Slomp NP(F) [English]
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        Dr. Daniel Jeffery Leach [English]
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        Fereshteh Shahmiribozorgi NP(F) [English,Farsi]
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        Dr. Mina Antonious [English]
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        Dr. Bukola Tokunbo Oyinloye [English]
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        Dr. Kieran Kettyls [English]
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        Dr. Shideh Faghih [English,Farsi]
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        Dr. Farshad Nokam [English,Azeri,Farsi]
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        Sean Young NP(F) [English]
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        Dr. Sarah Crisp [English]
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        Dr. Osa Olayemi [English]
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        Dr. Lidya Habbeb ishaq Sanjaqli [English]
        Family Physician
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        Your Medication

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        Transfer refills quickly and easily

        ED can request your prescription from another pharmacy.

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        Transfer refills quickly and easily

        Request prescription from

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        Name: Email: Date of Birth: Gender: Address: Province: Postal Code:

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