Pre-Appointment Form


Fill out our online Pre-Appointment Form (or call the pharmacy to provide your information over the phone). If you have insurance that pays for prescriptions, bring along your card(s) so we can bill your insurance on your behalf. If you have vaccination records, please bring them to your appointment.

*Required fields

Please register using the form below at least 48 hours prior to your appointment. Or we can take your information over the phone prior to your appointment. Please call us at 587.299.9555 at least 48 hours in advance.

  • Please list all countries, even if you’re not getting off of the plane (list in order)
  • Please see our fee guide


Suite 106 | 11601 101 Avenue Grande Prairie, AB 587.299.9555

Travel Clinic Hours
Monday to Thursday 9am - 6pm Friday 9am - 5pm Saturday 10am - 2pm Sunday and Holidays closed. Evening and weekend appointments by request