Transfer Prescription

Complete Our Secure Form Below To Transfer Your Prescriptions

Join Our Pharmacy Family

Transfer your prescriptions to Dawa Pharmacy and experience personalized care, local home delivery, and fast, friendly service.

Need Help? Call us for immediate assistance +1 (626) 604-1090

Personal Information

First Name

Last Name

Date of Birth

Phone Number

Email Address

Preferred Contact Method

Current Pharmacy Information

Current Pharmacy Name

Current Pharmacy Phone

Preferred Pickup Method

Prescriptions

Add the medication name and Rx number for all that you'd like to transfer.

Transfer all of my medications

Medication Name

Rx Number

Additional Information

Special Instructions or Notes

Terms and Conditions

I have read and agree to the Terms and Conditions

I have read and agree to the Privacy Policy

I authorize Dawa Pharmacy to transfer my prescriptions and contact my current pharmacy

Sign me up for pharmacy newsletter and health updates

Thank You!

Your Prescription Transfer Request Has Been Submitted

We have received your prescription transfer request and will contact you within 24 hours to confirm your transfer and answer any questions you may have.

Response Time: Within 24 hours

Need immediate help? Call us: +1 (626) 604-1090

Visit us: 20540 E Arrow Hwy Ste D, Covina, CA 91724

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