UBACARE

has built prescriber requisition forms that are easy for you to access and download
using your tablet, laptop and even mobile device to give you flexibility while you are
on the move. Save time using our add-on prescriber order forms which are
organized by medical therapy and/or drug name in the list below.



We are committed to providing extraordinary care for your patients.



Easy Form Filling
Access our order forms and submit them online and/or fax in real-time. We tokenize and encrypt all communications to protect personal data to help us comply with data protection laws such as PIPEDA, PIPA, and CPPA.



If your therapy is not listed below, please consider electronically prescribing the medication
to us. Prescriptions must be sent from licensed prescribers and in accordance with your
Province/Territory prescribing laws.