Book Appointment

Fill out the form below.  You will receive an email confirmation that your information was received.

Name (required)

Phone (required)


Email (required)

How many people will be at the appointment:

Preferred day/time for appointment:

Countries Travelling to:

Departure Date:

Any additional information we should know:

Before you arrive at your appointment, you can fill out our trip and health questionnaire at https://travelatmypharmacy.com/  Once you have filled out the form, print the barcode or bring it in on your phone.  This will enable you to have most of the paperwork done before you arrive.