VTE Antithrombotic Therapy Requisition - LETHBRIDGE
Phone: 403 380 3282 Fax: 403 380 3426
This service is available 24 hours. If submitting after store hours, confirm receipt of requisition by calling Vishal Sukhadiya at 403-715 0021.
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.