Download Our Canadian Online Pharmacy Form

Prescription Drug Order Form

If you would prefer not to order online at, you can simply fill out our Order Form and fax us your information.

Please note: It is not necessary to download and complete this form if you have already placed an order online.

Order Form (.pdf format)
Orden de Compra (en español) (.pdf format)

Pet Medications/Order Form

Our order form has been updated so now you only need one form for any prescription order you place with Jan Drugs. Whether you’re ordering for yourself, a loved one or your pet you can do it all with the same form. You just need to indicate on the form that the meds are for a cat, dog or other and fax it to us.

You will need Adobe Reader to view and print these forms. If you do not have Adobe Reader you may download a copy here.