Step 1. Read the Disclaimer and Privacy Policy. (below)

Step 2. Print thePharmacy Order Form and the Limited Power of Attorney and Release Forms.
Complete these forms. Please remember to sign in the areas for signature.
Locate forms at: www/seniorsmedsource.com/pharmacy.html

Step 3. Fax these forms plus the signed prescription to 1-567-661-1990.
Or, if you prefer, mail the forms and signed prescriptions to Seniors Medsource Discount Prescription Drug Center at:

Seniors Medsource Inc.
Order Department
1581 Brittany Court
Wheaton, IL 60187

That’s it. Any questions, we are here to help at 1-630-248-1990.

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At our Discount Prescription Drug Center, we complete an administrative review to ensure all required information has been provided.

After the administrative review, we either send the information to our affiliated Canadian pharmacy or, if the information is incomplete, we will call you to obtain the required information. Our job is to help you with the paperwork so your order can be filled by the Canadian pharmacy quickly and effectively.

Our affiliated Canadian pharmacy will review the information provided on your order form and will have the order form and your prescription reviewed by a licensed Canadian physician. If everything is in order, the Canadian physician will issue a Canadian prescription for you or simply co-sign the prescription from your U.S. physician.

The Canadian pharmacy will then fill your prescription using factory packaged and sealed prescription drugs and ship it to you by Express Canada Post. The Canadian pharmacy also will charge your credit card for the prescription drugs provided plus $12.95 for shipping.The Pharmacy will ship up to five prescriptions per package.There are no other charges.

Your prescription will be filled as written using factory packaged and sealed prescription drugs only. For name, strength and quantities available, see Products and Prices on our website. www.seniorsmedsource.com/products/

The Canadian Physician
A Canadian physician reviews the information you send and, if everything is okay with the prescription issued by your licensed U.S. physician and information on the order form, the Canadian physician co-signs the prescription or issues a Canadian prescription.This prescription is then given to the Canadian pharmacy.

The Canadian Pharmacy
The Canadian pharmacy is located in, British Columbia, Canada, and is liscensed by the College of Pharmacists of British Columbia. For further information, see “about us”. www.seniorsmedsource.com/aboutus/

Generic Drugs
Our affiliated Canadian pharmacy will substitute U.S. approved generic drugs for brand name drugs if available unless your prescription says that no substitutions are allowed.If you don’t want any generic drug substitutions, please put NO in the column for generic drugs on the order form.

Shipping
There is a shipping charge of $12.95U.S. per package. The pharmacy ships up to five prescriptions per package.

Limitations
All prescriptions are limited to a maximum ninety (90) day supply.
The Canadian pharmacy will NOT fill prescriptions for narcotics or other controlled substances.

Your Doctor
To take better advantage of our inexpensive prescription drug service you may begin asking your physician to write a 3 month prescription for a 90 day supply.

Product and Pricing
Prescription drugs, listed by strength, quantity and price, are found in “Products and Pricing”. This prescription drug list is updated as required to ensure that it has current prices. However, please note that prices are subject to change.

Payment
To provide inexpensive prescription drugs, we try to provide service in the most cost effective way for the most people. We have limited our payment options to credit card only.

U.S. Customs and the U. S. Food and Drug Administration
Prescriptions filled in Canada and brought into the United States are subject to importation rules and regulations established by the United States Customs and the United States Food & Drug Administration.For further information, you can refer to the Department of Health and Human Services Food and Drug Administration website at www.fda.gov and the U.S. Customs site at www.customs.ustreas.gov.

Privacy Policy
Seniors Medsource Inc. and its affiliated Canadian pharmacy maintain the highest professional standards regarding the confidentiality of customer information. The Canadian pharmacy will not release or otherwise share any prescription, personal, medical or financial information with anyone other than the reviewing Canadian physician, the customer or the U.S. physician who prescribed the medication. Seniors Medsource Inc. performs only an administrative review of materials and keeps on file only the name of the prescription drug, dosage and quantity as well as name, address etc. Except for this information, Seniors Medsource Inc. does not keep any medical or prescription information.

Disclaimer
Seniors Medsource Inc. provides administrative and marketing services for its affiliated Canadian pharmacy. In addition to its retail pharmacy business in British Columbia, Canada, the affiliated Canadian pharmacy is engaged in filling prescriptions written by U.S. physicians for individuals living in the United States, after review by a licensed Canadian physician. Participating customers acknowledge and agree that Seniors Medsource Inc. does not provide any medical, clinical, pharmacy or dispensing services and that Seniors Medsource Inc. has no liability with respect to the appropriateness, suitability, strength or dosages of the medications prescribed or dispensed, including but not limited to, any dispensing errors, side effects or ill effects of whatever kind or nature.

Participating customers also acknowledge and agree that they are not relying on Seniors Medsource Inc. with respect to the dispensing of the medications prescribed, and acknowledge that Seniors Medsource Inc. provides only information on ordering, and billing, and monitors shipping. Any disputes regarding the dispensing, or other matters related to the processing and filling of the prescription shall be between the customer and the Canadian pharmacy whose name and address appears on the prescription. If you use our services, it is presumed that you have read and fully understand the foregoing information.