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Complete Our Pre-Travel Questionnaire

3 days prior to your travel consult at the Palliser Medical & Travel Clinic in Lethbridge, we will email you an easy-to-complete secure online questionaire.  Be sure to provide an email address for all travellers booked in for a travel consult.   This questionnaire is to be completed by (or for) each traveller at least 2 to 3 days prior to your travel consultation appointment. 

For those without a email address, please print off questionnaire below, complete and bring to your appointment. 

the questionnaires

Choose the format below that is compatible with your system:

Questionnaire in Microsoft® Word 2010 format

Family and Travel Medical

Book your appointment at Palliser Medical & Travel Clinic today.

Contact Us

Palliser Medical and Travel Clinic



210-740 4 Ave S

Lethbridge, AB T1J 0N9


Phone: 403-381-1013

Fax: 403-381-4011

Email:  (This email address is not a secure platform to send medical information or ask questions about your medical health)



Monday 09:00 AM - 05:00 PM

Tuesday 09:00 AM - 05:00 PM

Wednesday 09:00 AM - 05:00 PM

Thursday 09:00 AM - 05:00 PM

Friday 09:00 AM - 02:00 PM

Saturday Closed

Sunday Closed

Closed all Statutory Holidays


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