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Medical History

Information about your health and previous treatments

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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?

Medical History

Information about your health and previous treatments

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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)

Date of Birth (as on your ID)

Gender

Sex assigned at birth

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Verify Mobile

Please enter the 4 digit OTP that we sent on your cell phone

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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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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.

        Your Medication

        Select your medication

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        Preview your information

        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

        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

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

        No Medication:

        Your Medication

        Select your medication

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        Choose a Physician


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        Rachel Slomp NP(F) [English]
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        Dr. Lidya Habbeb ishaq Sanjaqli [English]
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        Dr. Omobolade Morolayo Akinrolie [English, French, Yoruba]
        Family Physician
        Dr. Ann Chimerue Akabogu [English]
        Family Physician
        Dr. Olamipo Oluwakemi Bamigboje [English, Yoruba]
        Family Physician
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        Dr. Ahmed Rashad Amer [English, Arabic]
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        Dr. Abiola Laju Imasogie [English]
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        Dr. Osa Olayemi [English]
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        Dr. Matande Patrick Mafulu [English, French]
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        Dr. Mina Antonious [English]
        Family Physician
        Dr. Onyi-Ibarakumo Matthew Isiramen [English]
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        Dr. Jordan H L Tran [English]
        Family Physician
        Nadine Power NP(F) [English]
        Family Physician
        Dr. Elham Rezaeisarlak [English, Farsi]
        Family Physician
        Dr. Daniel Jeffery Leach [English]
        Family Physician
        Dr. Ifeoluwa Osinowo [English]
        Family Physician
        Jacqueline Kennedy NP(A) [English]
        Family Physician
        Dr. Clasina Elizabeth Fourie [English, Afrikaans]
        Family Physician
        Dr. Chimdimma Favour Eze [English]
        Family Physician
        Navneet Kaur NP(F) [English]
        Family Physician
        Dr. Eileen Fan [English]
        Family Physician
        Dr. Ndubuisi Okorie [English, Igbo, Yoruba]
        Family Physician
        Mark Pabustan NP(F) [English]
        Family Physician
        Dr. Amarachukwu Igbom [English, Igbo]
        Family Physician
        Ashley Serl NP(F) [English]
        Family Physician
        Dr. Nazanin Tahbaz [English, French, Farsi]
        Family Physician
        Monica Anderson NP(F) [English]
        Family Physician
        Dr. Kenton Dang Gan [English]
        Family Physician
        Dr. Bukola Tokunbo Oyinloye [English]
        Family Physician
        Dr. Mostafa Hamdy Ibrahim Rashed [English, Arabic]
        Family Physician
        Dr. Arthur Vasquez [English]
        Family Physician
        Dr. Farshad Nokam [English, Azeri, Farsi]
        Family Physician
        Dr. Shideh Faghih [English, Farsi]
        Family Physician
        Dr. Sasha Ho Farris Nyirabu [English, French]
        Family Physician
        Dr. Yasaman Khorami [English, Farsi]
        Family Physician
        Dr. Rolf Major [English]
        Family Physician
        Dr. Mohammad Reza Nakhaei [English, Farsi]
        Family Physician
        Bonnie Eklund NP(F) [English]
        Family Physician
        Dr. Kieran Kettyls [English]
        Family Physician
        Dr. Stephen Akinkunmi [English, Yoruba]
        Family Physician
        Dr. Javad Ramezani [English, Farsi]
        Family Physician
        Virginia Burns NP(F) [English]
        Family Physician
        Dr. Muhammad Naeem Arham [English, Urdu, Hindi, Punjabi]
        Family Physician

        Your Medication

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        Your Medication

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        Schedule appointment

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        Lost your password?

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        Full Name (as on your ID)

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        Sex assigned at birth

        Personal Details

        Your information is encrypted and HIPAA-compliant

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        Personal Details

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        Verify Mobile

        Please enter the 4 digit code that we sent on your cell phone

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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

        Pharmacy Name:

        Pharmacy address:

        Patient Name:

        Patient Phone Number:

        *Pharmacy dispensing fee of $10

        Medical History

        Information about your health and previous treatments

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        Reset Password

        Lost your password?

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        Create an Account

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        Personal Details

        Your information is encrypted and HIPAA-compliant

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        Full Name (as on your ID)

        Date of Birth (as on your ID)

        Gender

        Sex assigned at birth

        Personal Details

        Your information is encrypted and HIPAA-compliant

        Account
        Account
        Personal Details
        Personal Details
        Medical history
        Medical history
        Review
        Review

        Personal Details

        Your information is encrypted and HIPAA-compliant

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        Medical history
        Medical history
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        Verify Mobile

        Please enter the 4 digit code that we sent on your cell phone

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        Your Medication

        Select your medication

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        Upload your prescription

        Please upload a photo of your prescription

        Choose files
        Choose files or drop files here

        *File supported .png, .jpg, .pdf

        Ensure your ID is valid, completely shown within the capture area, and all the details on it are readily understandable

        Personal Details

        Your information is encrypted and HIPAA-compliant

        Account
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        Preview your information

        Personal Details

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

        Phone Number:

        Medical history

        Your uploaded prescription: Upload Prescription

        No Medication:

        Reset Password

        Lost your password?

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