VTE Antithrombotic Therapy Requisition - CALGARY
Phone: 403-289-6761 Fax: 403-210-2845
1790, 1632 14 Ave NW, Calgary, T2N 1M7
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.