For Pharmacy & Drug Store

Take prescription refills and medication requests in an organized queue

A structured request form for prescription refills and medication orders — customers submit what they need, you see it in one organized queue instead of a stream of individual chat messages.

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No code needed Free to start Works with your WhatsApp number Set up in minutes NDPR compliant

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See it in action

This is what your customers will see

A clean, professional form — branded to your business

9:41
●●●○ WiFi ▐▐▐
💊 Medication Request Fill in your details below
Enter your name
+234 XXX XXX XXXX
What do you need?
📎 Tap to upload
Pickup, Delivery, etc.▾
Send via WhatsApp 📱
→ delivers to your WhatsApp
9:41
●●●○ WiFi ▐▐▐
←
💼
eFORMS Business online
⋮
TODAY
New Form Submission

Patient / Customer Name: Sample value
WhatsApp Number: Sample value
Medications Needed (Name, dosage, quantity): Sample value
Upload Prescription (if available): Sample value
Order Type: Sample value
9:42 AM ✓✓
😊 📎
Type a message
🎤
📋
Structured fields Not scattered chats — clean, organized data every time
✨
Branded to you Your logo, your colors — looks like a real business
📲
Lands in WhatsApp Every submission formatted and ready to act on
⚡
Zero setup No app install — works in any browser
Customize this template →

The old way isn't working

✕ Refill and medication requests arrive mixed in with every other WhatsApp conversation.
✕ Easy to lose track of who is waiting on what during a busy period.
✕ No structured record of what a customer actually asked for.

Why eFORMS fits Pharmacy & Drug Store

💊

Structured medication requests

Every request captured with the same details — no more digging through chat history to figure out what someone needs.

📥

One organized queue

Requests land in a dedicated inbox, not mixed into your regular WhatsApp conversations.

☎️

Phone verification

OTP verification helps confirm you're dealing with a real, reachable customer.

✉️

Instant confirmation

Customers get their request acknowledged on WhatsApp right away.

The old way vs. the eFORMS way

Scattered WhatsApp chat
With eFORMS
Orders and inquiries scattered across chats
One structured link, every time
Details written free-form, easy to misread
Clean fields for exactly what you need
No record of who submitted what, or when
Every submission saved and organized
Looks improvised
Looks like a real, professional business

How it works

1

Build your form

Start from a template or build from scratch — no code needed.

2

Share the link

Post it on WhatsApp status, Instagram, or anywhere your customers already are.

3

Get it on WhatsApp

Every submission lands in your WhatsApp, formatted and ready to act on.

Questions people ask

Do I need to know how to code?

No — build with a ready-made template or the AI generator, no code required.

Is it really free to start?

Yes — you can build and publish your first form for free, no card required.

Do my customers need to install anything?

No — they fill out your form in their browser, and it opens straight into WhatsApp when they submit. WhatsApp is the only app they need.

Can customers upload a photo of their prescription?

Yes — add a file/image upload field so customers can attach a photo of their prescription with the request.

Set up your medication request form today

Free to start. No card required.

Get started free

Other businesses eFORMS works for

Agribusiness & Farm Orders

A structured order form for farm produce, livestock, and agro-input orders — quantities and delivery details captured clearly upfront, instead of negotiated over several separate messages.

Learn more →

Personal Shopping & Imports

List what's available on your next AliExpress, Amazon, or Shein run — or let customers send their own product link — and get quantities, totals, and delivery details in one clean order instead of screenshots scattered across chats.

Learn more →

Healthcare & Optometry

A real booking calendar with time slots for clinics, hospitals, and private practitioners — including eye and dental visits, where the form automatically asks for the details that visit actually needs.

Learn more →

Browse all solutions

See every industry eFORMS has a ready-made starting point for.

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