Platinum Compound Rx Pharmacy

Forms for Pharmacies, Vets, Hospitals & Clinics

Easily access and download the forms you need, all in one place. Designed for pharmacies, veterinary practices, hospitals, and clinics, our documents are organized to support your practice with convenience and consistency.

Ordering & Forms

How to Order From Us

We have several forms. You don’t need to complete every form—review what applies to you and choose accordingly.

For First-time customers (or changes to your pharmacy)

If this is your first order or if there’s been a change of manager, owner, or pharmacy name, please also complete these one-time items:

One-time setup requirements

  • Complete the Sign-Up Agreement. Required under Health Canada Policy 51 and College of Pharmacists of Manitoba regulations.
  • Complete the Payment Form (card on file required).
  • Fax both forms to 1-833-536-1732.
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Step 1 — Decide what you need

A) Just a price quote (no commitment)

  1. Complete the Price Quote Request form.
  2. Fax it to 1-833-536-1732.
  3. We’ll reply with a price (typically within 24 hours).
  4. If you like the price, check the box and fax back again.

B) Place an order now

  1. Complete the Order Form.
  2. By submitting, you agree to proceed at our default price.
  3. Fax it to 1-833-536-1732.

C) Diclofenac bulk orders

  1. Complete the Diclofenac Bulk Order Form.
  2. Fax it to 1-833-536-1732.
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Step 2 — Send your forms

Fax all applicable forms to: 1-833-536-1732.

Need us to resend any forms? Call 204 306 4445.

Policies & Notes

  • No cancellations once an order is placed.
  • Prices are estimates and may change.
  • We’ll contact you if clarifications are needed.
  • Price quotes typically take up to 24 hours.

Where to Find Us!

WHY OUR PATIENTS CHOSE US

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