Send us your child's prescription | LittleDose Toronto — LittleDose

You're a LittleDose founding family.This delivery is on us, completely free through our pilot.

1 Parent & child

So we know who to text when your delivery is on the way.

Your name *

Email *

Phone (SMS) *

Delivery address *

Child's first name *

Child's age *

Known allergies (optional)

2 Prescription

If you don't know the medication name, our partner pharmacist can read it from the script.

Medication (if known)

Prescriber + clinic *

How was your Rx issued? *

Paper script

Doctor handed it to you on paper.

Sent electronically

Doctor sent it directly to a pharmacy.

Photo of the prescription (optional but speeds us up) Tap to upload a photo JPG or PNG, under 10MB Can't upload now? We'll text you and you can send the photo to that number.

3 Add OTC items (optional)

Tick anything you'd like added. Your partner pharmacy will price these alongside your Rx.

Fever & pain

Tylenol Infant

grape, dye-free

Pediatrix children liquid

Tylenol generic, cherry

Tylenol Chewable

bubble gum

Advil Infant

grape, dye-free

Advil Children

grape, dye-free

Allergies

Reactine Fast Melt Junior

antihistamine

Gut & probiotics

BioGaia drops

probiotic for kids

MetaKids probiotic

daily gut support

Hydration

Pedialyte sachets

fruit punch

Pedialyte freezer pops

for the kid who won't drink

Comfort & first aid

Hydrasense nasal kit

saline + aspirator

Lollibee lozenges

throat support

Bandaids

assorted sizes

4 Consent & authorization

Personal health information.I consent to LittleDose collecting my child's prescription and related health information for the purpose of coordinating this delivery. I am the parent or legal guardian. Sharing with our partner pharmacy.I authorize LittleDose to share necessary prescription information with our partner pharmacy for dispensing. Refill & prescriber communication.I authorize LittleDose to contact my child's prescriber on my behalf for routine refill requests. LittleDose will not make clinical decisions.

You can revoke any consent by emailing dora@littledose.ca. Handled in accordance with Ontario's PHIPA.

We'll text you within an hour to confirm.

Prescription received.

Thank you. We'll text the number you provided within the next hour to confirm your details and send your dosing schedule.

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