Canadian Discount Med Services
Order Form
To place your order, please click on the link or PDF icon to download and print out the form below. Then, complete it and mail, fax or email it to us along with your prescriptions and a check or money order, if that is your preferred form of payment. We will call you when we receive it and review it with you before placing your order. Feel free to call us at (855) 811-1958 at any time with any questions. Thank you
Download "Forms.pdf"