Click Here to Print this Page and Prescription Fax Cover Sheet
Canadian Meds USA
Faxing, Emailing and Mailing Instructions
A. If you do not already have one, you must obtain a prescription from your U.S. doctor.
B. If you choose to pay by direct debit, please mail, email or fax the following to the address below:
  • Customer Registration Form
  • Prescription(s)
  • A voided check
Our toll-free fax number is 1-877-933-3625. Our email address is
If you have any questions, please contact us:
Phone: (Toll-free) 1-877-933-0505)

* * Fax Cover Sheet – Canadian Meds USA * *
Thank You For Submitting Your Order
If you fax (instead of mail) your prescriptions to Canadian Meds USA in connection with placing your order, please use this form as a cover page for your fax. Please attach only one prescription per page and make additional copies of this form if you have more than one prescription.
Prescription Order Fax Cover Page
Fax Number: 1-877-933-3625

Total Number of Pages (including this sheet) 
Your Name: (as written on prescription) 
Home Phone:  Birth Date: 
Number of Prescriptions you are faxing at this time: 
Please attach your Prescription

Thank you!