Prescription refill form

Please complete the below form to refill your prescription. The Prescription Shop at St. Joseph's Hospital will inform you when it is ready for pick-up. 

Please allow a minimum of 48 hours’ notice for all prescription refill requests.

If you have questions, please contact:

Prescription Shop

St. Joseph's Hospital
Room A1-013
268 Grosvenor Street
London, Ontario
N6A 4V2

Hours: Monday to Friday 9 a.m. to 5:30 p.m.
Closed weekend and statutory holidays (including Remembrance Day)

Phone:  (519) 646-6100 (ext. 66194)
Fax:  (519) 646-6202

This personal information is being collected under the authority of the Public Hospitals Act R.S.O. 1990, CHAPTER P.40 for the purpose of contacting the sender in response to an inquiry. If you have questions about the collection of this information, please contact Privacy and Freedom of Information, St. Joseph's Health Care London, 268 Grosvenor Street, London, ON,519-646-6100 ext. 65591.  The rest of the paragraph, aside from the line with the incorrect phone number and wording, should be left alone as well.  Please note that the PRivacy page is correct and should not be touched.  

Please Note:

For special pick up requests, please provide instructions to the Prescription Shop team below and we will do our best to accommodate your requirements:

This personal information is being collected under the authority of the Public Hospitals Act R.S.O. 1990, CHAPTER P.40 for the purpose of contacting the sender in response to an inquiry. If you have questions about the collection of this information, please contact Privacy and Freedom of Information, St. Joseph's Health Care London, 268 Grosvenor Street, London, ON,519-646-6100 ext. 65591.