Kid's Travel Appointment Form

Travel Clinic and Health Consultation

101 PHARMACY

Phone:

Child no.3's Birth Date:

Are you traveling with your child(ren)? *

Yes

Contact Person's Name: *

Child no.1's Name:

Departure and Return Date: *

Preferred Appointment Day(s): *

Saturday

Sunday

No Preference

Preferred Appointment Time:

Email: *

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Child no.3's Name:

Child no.1's Birth Date:

How many people are coming to the appointment? *

Child no.2's Name:

Address

1107 Centre Street, NW

Calgary, AB, Canada

Child no.2's Birth Date:

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Phone

403.455.8648

Call Us: 403.455.8648

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Office Hours

Monday - Friday: 10:00 am - 8:00 pm.

Saturday, Sunday: 10:00 am - 8:00 pm.

Holiday: 10:00 am - 8:00 pm.

Our registered nurse is only available on selected days for children's travel vaccinations.

If you would like to come for your travel consultation first and receive your injections on a separate day, please call us to let us know.

Please feel free to call us for any questions or concerns.

Travel Destination(s): *