COVID-19 Vaccine Registration Form
You can book an appointment for COVID-19 Vaccines at Valley Ridge Pharmacy through Alberta Government Vaccine Bookings Site. Please follow the following steps to book a COVID-19 Vaccine :Step 1 : Click Book now button below or visit bookvaccine.alberta.caStep 2: Register and Note your confirmation numberStep 3: Choose your preffered way to Book the appointment (E-mail or Phone Call)Step 4: If you chosen E-Mail, you will receive a link from the Government to Book Your appointment for the vaccination and you can choose Valley Ridge Pharmacy as your vaccination location here. You can chose to provide the same information over the phone as well.Step 5: Our pharmacy will receive your booking information and you can visit the pharmacy on your appointment day and time with your Alberta Health Card.
Vaccine Recipient Name
*
First Name
Last Name
AGE
Date of Birth
*
/
Month
/
Day
Year
Gender at birth
*
Please Select
Male
Female
Email
example@example.com
Vaccine Recipient Phone Number
*
Email Address
*
Appointments : You must choose the day and time of your appointment below. Available time slots will be highlighted in blue. If the time slot is greyed out, it is not available to book as someone else may have already booked that time. Please do not submit this form without choosing an appointment day and time, as we may not receive your submissions properly without this information. Thank You!
Click Here To Book at Alberta Government Website
Should be Empty: