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  • Travel Medicine Booking Alberta

    Book a virtual appointment to stay safe and healthy abroad. Complete the below form to connect with a licensed physician for a travel health consultation.

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    Travel Medicine Alberta Consultation Product Image
    Travel Medicine Alberta Consultation
    $75.00CAD
      
    Total
    $0.00CAD

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  • Patient Information

  • Caregiver/Guardian Information

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  • Medical History (Check all that apply)

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  • Itinerary (Check all that apply)

    you are welcome to send a detailed itinerary in ADDITION to this form
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  • *By requesting an appointment, you agree to Rocket Doctor’s Terms and Conditions, Email Communications Policy, Informed Consent, and Privacy Policy.

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