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Western Allergy

Request a refill

To renew your allergy prescription we need an authorised prescription from your physician's office. Some physicians ask to see you before approving a renewal.

Option 1: take the form to your physician

Download the renewal form, then email it or bring it to your physician's office. They fax it back to us at 1 877 337 1935.

Renewal form (PDF)

Option 2: submit online and we fax your physician

Fill in the form below and Western Allergy will fax your physician's office to request authorisation.

To speed things up, ask your physician's office to authorise the renewal. You can email or drop off the renewal form. When you submit this, Western Allergy faxes your physician to request authorisation.