• Number on prescription label
  • Number on prescription label
  • Number on prescription label
  • Number on prescription label
  • Number on prescription label
  • Number on prescription label
  • Number on prescription label
  • Number on prescription label
  • Would you like the pharmacy to contact your doctor if your prescription needs authorization?
  • If you would like us to send you a text message notification when your prescription is ready, using your cell phone number entered above, please keep "Yes" option below.
  • Would you like your prescription delivered or do you prefer pickup?

Re-Fill your Prescription quickly and easily using this Cornerstone form.

If you are already a patient of Cornerstone and require a prescriptions renewal, please fill in all the information below and a pharmacist will contact you shortly.

*Please note, you will receive a call from our Pharmacy to confirm your refill and to schedule a time for your free home delivery. If you do not receive a call within 45 minutes during business hours, after you submit your Re-fill request, please call us at:   (905) 450-6500

Your prescription number will be printed on the bottle. Look for the Rx: number.