Patient Support

Transfer a prescription.

Tell us where your prescriptions are filled today. We'll call your current pharmacy and handle the transfer — you don't need to do anything else.

Already a Village patient and just need a refill? Request a refill →

Your Information

All fields marked * are required.

First Name

Last Name

Date of Birth

Phone Number

Email (optional — we'll confirm your transfer request)

Your current pharmacy

Where are your prescriptions filled today? We'll contact them and handle the transfer.

Pharmacy name

Pharmacy phone

Optional — if you have it handy, it speeds things up.

Medications to transfer

Additional Information

Optional — anything else our team should know.

Additional Notes

Not for emergencies. If this is a medical emergency, call 911.

Your information is secure and will only be used to process your request.