VTE Antithrombotic Therapy Requisition - RED DEER


Shoppers Drug Mart Bower Place Mall, open M-F 9am-10pm, Sat 9am-7pm, Sun 11am-5pm

Phone: 403-343-3355         Fax: 403-343-6622

4900 28 St Unit 1043, Red Deer AB T4R 1N9

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.

Online form currently unavailable.
PDF Version for download: