VTE Antithrombotic Therapy Requisition - EDMONTON
Phone: 780-482-1011 Fax: 780-482-6330
11720 Jasper Ave NW, Edmonton, T5K 0N3 Canada
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.