Travel Clinic

(100+ Five-Star Reviews on Google)

Book your Travel Consultation

Please complete the form below

Thank You For Booking

Your booking is now complete! We’re excited to assist you in preparing for your travel. To ensure each passenger receives a comprehensive Travel Consultation, please visit https://everestpharmacy.ca/travel-form/ before your appointment and complete one Travel Consultation form for each passenger in your group.

1General Information

2Medical History

3Trip Information

Contact Information (to confirm your appointment)

Everest Whole Health Pharmacy will send you operational text messages for appointment and vaccination reminders.
If you wish to opt-out, you can reply STOP to the first text message you receive.

Email *

Cell Phone *

Home Phone

Work Phone

Address

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Personal Details

Birth Date (mm/dd/yyyy) *

Name *

First

Last

Health Card ID *

Weight (kgs) *

Gender *