Transfer Prescription Thank you for choosing Linton Square Pharmacy. You can transfer your prescription from another pharmacy to our pharmacy by simply filling out the form on this page. PATIENT DETAILS First Name Last Name Date of Birth Phone Number Address City State AlabamaAlaskaArizona Zip/Postal Code Pharmacy Name Pharmacy Phone Prescriptions to be transferred If you would like to transfer all prescriptions, simply check the box below. Transfer all my prescriptions If you would like to selectively transfer your prescriptions, simply start typing to find your medication. List specific prescriptions to be transferred.. MEDICATION NAME Rx1 Med Name PRESCRIPTION NUMBER FROM CURRENT PHARMACY Rx 1 # Rx2 Med Name Rx 2 # Rx3 Med Name Rx 3 # Rx4 Med Name Rx 4 # Rx5 Med Name Rx 5 # Please prove you are human by selecting the Car. MORE INFORMATIONCALL US TODAY AT- 561-272-0015 Comments are closed.