If you have ordered prescriptions from us before you are not required to fill out another patient questionnaire or release form. To order, simply follow these two simple steps:

Fill Out Prescription Order Form:

Please fill out the prescription order form. Please note all address/phone number changes and any changes to your medical condition.

In order to view PDF files, you must have the Adobe Acrobat Reader installed on your computer system. If you do not already have a copy of a PDF Reader then click on the logo to install a FREE copy. Once installed click on the PDF form link below to read and print.

Fax or Mail Form

Please note that all new orders must be accompanied with an original prescription before orders can be processed. All refills can be faxed, e-mailed, or Phoned in.

Mailing Address:
PolarMeds Inc
200-1383 Pembina Hwy.
Winnipeg, Manitoba
Canada R3T 2B9

By Fax:
Toll Free 1.888.875.0946

Please ensure you have correct postage for mail to Canada. Express mail is not necessary.

If you have an existing prescription at another drug store that you would like transferred please provide a copy of your prescription label.

Turnaround Time:

Please allow 3 business days for order processing and 10-14 business days for shipping. If you have not received shipment within 3 weeks please contact us and we will track your package.

Please Note:

Currently the United States Food and Drug Administration (FDA) limits the quantity of medication we are able to send at once to a three-month supply. If your prescription allows, you can order refills every three months. You do not have to fill out another patient questionnaire or release form when placing an order for a refill. Refills can be ordered by calling us toll-free at 1.800.784.2309 or by email (see How To Order). Once all refills have been used, you will be required to mail a new prescription or we can call your doctor for additional refills.

By law, we do not ship controlled substances such as amphetamines and narcotics.

Under pharmaceutical law, all sales on prescription drugs are final and non-returnable.