Bowmont Travel Clinic - Request an Appointment

	For Information and Assistance for Canadians Abroad Click Here
	Jet Lag
	Shingles Vaccine Zostavax Now Available at Bowmont Travel Calgary - $195.00 No referral needed. Please Book an Appointment Click here for further information
	Mosquito Bed Nets are available at our Clinic. (Barrier with Repellent)

- We will call you within 24 hours to confirm your appointment time.
- Upon confirmation of your appointment we will be requesting visa or mastercard information to hold your appointment.

Common Reasons for NOT getting a response:

-	Information Incomplete or Incorrect.
-	Unable to Contact You by Phone.

* This information is Required and must be Filled in Correctly to ensure response!

*  Patient's Full Name:

     Please select how you like us to reply back to you:

* Phone:     Alternate Phone:
  Please provide the phone number where we can reach you at all times.

* Your email address:

   Requested Appointment: (be as flexible as possible)
   First Choice:       Time:
Second Choice:       Time:

What country will you be traveling to:

Date of Departure:

Comments: