Same-Day Travel Appointment Request

Call Us: 403.455.8648

Preferred appointment date and time (Choice #2):

Phone

403.455.8648

Purpose of Trip

Pleasure/holiday

Business

Education/study

Visiting family and friends

Adoption

Volunteer work

Religious visit

Email: *

Check here if you prefer to be contacted by e-mail.

Trip Itinerary: (countries and regions you will visit) *

We charge $30 per traveler for a virtual travel consultation. Injection fee is included in this price if you plan to receive your vaccines at our clinic.

* Costs of vaccines and medications are not included.

Each virtual travel consultation includes:

Travel health recommendations for your upcoming trip,
Prescriptions for recommended/required vaccines and medications for your upcoming trip.

We will contact you by email to confirm your appointment date/time and method of payment.

**Payment is required upon confirmation of your appointment. Click to pay now.

Are you pregnant? *

Yes

Office Hours

Monday - Friday: 9:00 am - 6:00 pm.

Saturday: 10:00 am - 6:00 pm.

Sunday & Holidays: Closed

Same-day appointments are usually available. Please give us a call to confirm.

Address

1107 Centre Street, NW

Calgary, AB, Canada

Name: *

Departure and return date: *

Have you been vaccinated in the past 4 weeks? *

Yes

Birth Date: *

Alberta Healthcare Number *

VIRTUAL TRAVEL APPOINTMENT REQUEST

Preferred appointment date and time (Choice #1): *

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Possible activities:

Healthcare activités

Wilderness/extreme sports

Safari

Volunteering

High altitude/climbing

Jogging/running/bicycling

Contact with animals/veterinary activities

Rafting/Water sports

Underwater diving

Are you breast feeding? *

Yes

Phone No: *

Gender *

Male

Female

101 Pharmacy & Travel Clinic