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Transfer a Prescription

Move your prescriptions from another pharmacy to Auburn Pharmacy. We'll handle the call and paperwork — you don't have to.

Or call (508) 832-6511

Patient first name*Patient last name*Date of birth*Phone*Email*Current pharmacy name*Current pharmacy phoneMedication(s) to transfer*List each medication on a new line. Include strength if known.Insurance provider (optional)Anything else we should know?

HIPAA & Privacy Notice

Auburn Pharmacy & Home Health Care complies with the Health Insurance Portability and Accountability Act (HIPAA). The information you submit through this form is Protected Health Information (PHI) and will be used solely to fulfill your request, coordinate with your prescriber, and process insurance — never sold or shared with marketers.

This online form is not a secure method of communication; please do not include credit card numbers, social security numbers, or other highly sensitive data. By submitting, you authorize Auburn Pharmacy to use your information consistent with our Notice of Privacy Practices, available on request.

For medical emergencies, call 911. For urgent prescription needs, call us at (508) 832-6511.

I have read and acknowledge the HIPAA & Privacy Notice above, and authorize Auburn Pharmacy & Home Health Care to use the information provided to fulfill my request. *

Need help filling this out? Call us at (508) 832-6511 and we'll walk through it together.