VTE Antithrombotic Therapy Requisition - EDMONTON
Phone: 587-454-2413 Fax: 587-454-0885
B01- 8625 112 St NW, Edmonton
Complete our online form and we will provide treatment for your patient. All data is encrypted and highly secure. Furthermore, we will collect identifiers when the patient contacts us.
If you prefer, you can scroll down for the pdf version which you can print, fill out, and fax to the pharmacy.