Prescription Transfer

HFM Pharmacy makes transferring prescriptions easy, with a few simple steps.

  1. Contact the HFM Pharmacy by completing the form below or calling (920) 320-4400.
  2. Provide your personal information, including name, date of birth, address and insurance information.
  3. Provide prescription information, including the name of your current pharmacy, the prescriptions to be transferred and if the prescriptions need to be refilled or should be kept on file for future orders.
  4. If you need prescriptions refilled, provide a day and time for pickup.

Prescription Transfer Form

Insurance Information


Current Pharmacy


Save Time.

Save time and pick up your prescriptions through our drive-thru, available:

Saturdays: 8:30 a.m.-3:30 p.m.