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Product Reorders

Please fill out the form below to request product refills.

If you are wanting to discuss any new products, please book a follow-up appointment through our online booking site or call the office at 250-762-3600

Note:

  • Please allow a minimum 2 business days for your order to be processed, the office is closed Wednesdays, Saturdays, Sundays and holidays.
  • Dr. Wagstaff must have prescribed this product to you in the past for you to place a reorder.
  • Once your order is ready you will receive an email.
  • We are happy to ship your products to you for a flat-rate $20 shipping fee.

    CONTACT INFORMATION

    This order is for:
    myselfa family member

    Family Member's Name(if applicable):

    I would like this order shipped:
    noyes

    Shipping Address(if shipping):

    Payment Method:
    card on filepay at pick up

    PRODUCTS

    Please include dosage and strength if known

    PRODUCT #1
    Product Name

    Dosage

    Quantity Requesting

    PRODUCT #2
    Product Name

    Dosage

    Quantity Requesting

    PRODUCT #3
    Product Name

    Dosage

    Quantity Requesting

    PRODUCT #4
    Product Name

    Dosage

    Quantity Requesting

    PRODUCT #5
    Product Name

    Dosage

    Quantity Requesting