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)
- Complete the Price Quote Request form.
- Fax it to 1-833-536-1732.
- We’ll reply with a price (typically within 24 hours).
- If you like the price, check the box and fax back again.
B) Place an order now
- Complete the Order Form.
- By submitting, you agree to proceed at our default price.
- Fax it to 1-833-536-1732.
C) Diclofenac bulk orders
- Complete the Diclofenac Bulk Order Form.
- 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
EXCELLENT Based on 7 reviews Posted on C BTrustindex verifies that the original source of the review is Google. There super nice and fast.Posted on M PTrustindex verifies that the original source of the review is Google. Theresa Mahood and her team are fabulous ! They are professional and friendly. I would strongly recommend there pharmaceutical services.Posted on R ATrustindex verifies that the original source of the review is Google. This pharmacy hands down gave me the best treatment for my family. Two other pharmacies in Selkirk did not have my daughter’s prescription. And it needed to be filled asap. They had it ready within the hour. Great customer service and will be back!Posted on J BTrustindex verifies that the original source of the review is Google. I've been getting my cats medication filled here. The pharmacist Theresa has been wonderful. She has been so helpful and caring to get things just right for him.Posted on F ATrustindex verifies that the original source of the review is Google. Hands down the best pharmacy in Winnipeg! I have been using this pharmacy for years and am glad I switched after all the horrible experiences I’ve had with other pharmacy’s. The pharmacists are always friendly, going way above and beyond to help, from emailing doctors before medications are due, to suggesting and making a cream to help with my wife’s chronic pain. I will never use another pharmacy. They also deliver and are LGBTQ+ friendly!Posted on 4Trustindex verifies that the original source of the review is Google. Platinum was understanding and professional in our interactions. I felt like they cared about my perticular situation and the prescription that I needed filled. Thank you again for the reassuring experience. 5 out of 5 will definitely do business with them again.