My Familiprix account
My Health Profile
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Request a My Health Profile transfer
Please fill out the form.
Your new pharmacy will contact you by telephone.
Your file has been transferred!
Transfer My Health Profile to this pharmacy
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from 12 pm to 4 pm
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I am aware of the pharmaceutical services offered by the pharmacy mentioned above. I agree to transfer my prescriptions. I was not coerced into making this decision.
I understand that this form, authorizing my consent, will be sent to my current pharmacist.
I remain free to change pharmacy at any time if I am no longer satisfied. In the event of change, this authorization will no longer be valid.