Supplement Refill Form

Reception Hours

Day Morning Afternoon
Monday 9:00 am – 12:00 pm 1:00 pm – 6:00 pm
Tuesday 9:00 am – 12:00 pm 1:30 pm – 5:00 pm
Wednesday 9:00 am – 12:00 pm 2:00 pm – 6:00 pm
Thursday 9:00 am – 1:00 pm
Friday Office is Closed

For refill requests, please fill out the form below.

Please note, if you’re planning to pick up your refill(s) within the next 2 hours, please call instead of or in addition to filling out the online form, to ensure that we will have your refill request filled in time. 519-271-2440

Please indicate your preferred method of contact *
PhoneEmail

Please list item(s) you would like to be refilled:









Please indicate your preferred day/time for pick-up. (See Reception Hours below)
Monday MorningAfternoon
Tuesday MorningAfternoon
Wednesday MorningAfternoon
Thursday Morning

Comments or special instructions: