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PALLISER Medical Clinic

Family, Travel & Cosmetic Medicine

Complete Our Pre-Travel Questionnaire

At Palliser Medical & Travel Clinic in Lethbridge, we make it easy for you to get started with our services by providing our pre-travel questionnaire online. This questionnaire is to be filled out by each traveller and turned in to our clinic at least 2 to 3 days prior to your travel consultation appointment. You can return it to us by fax, email or in person.

Please also be sure to contact the community health office(s) where you have received your vaccinations and have them fax your records to us. Other things to keep in mind prior to your appointment include:

  • Please schedule consultation at least 6 weeks ahead
  • The costs of travel vaccines are not covered by Alberta Health Care
  • The consultation fee is $50 per person
  • Missed appointments will be billed if not cancelled 2 days ahead of your scheduled 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.


We specialize in cosmetic medicine, botox and dermal fillers, women's health and travel medicine as well as Intrauterine device (IUD) insertion or Nexplanon hormone-controlling birth control subdermal implants.

Contact Us

Palliser Medical Clinic

Family, Travel & Cosmetic Medicine


210-740 4 Ave S

Lethbridge, AB T1J 0N9


Phone: 403-381-1013

Fax: 403-381-4011: 403-381-4011

Email:  ( This email address is not a secure platform to send medical information or ask questions about your medical health.  Please call the clinic to arrange secure email access via Brightsquid.


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


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