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 780.963.9792 at least 48 hours in advance.

  • Please list countries in order and denote layover (L) or stay (S) beside each country listed.
  • Please see our fee guide


Suite 2 | 4402 37 Street Stony Plain, AB 780.963.9792

Travel Clinic Hours
Tuesday and Wednesday 9am - 6pm Thursday 9am - 8pm Short notice appointments and appointments outside of regular hours may be possible. Call us to check availability.