Request an Appointment - Synergy Medical Plus - Sherwook Park, Edmonton Travel Clinic

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	Jet Lag
	Shingles Vaccine Zostavax Now Available at Synergy Medical Plus, Sherwood Park Edmonton - $195.00 No referral needed. Please Book an Appointment Click here for further information
	Mosquito Bed Nets are available at our Clinic. (Barrier with Repellent)

H1N1 Update!

Synergy Medical Plus
Disclaimer

About Synergy Medical Plus
Sherwood Park, Edmonton, Alberta

- We will call you within 24 hours to confirm your appointment time.
- Upon confirmation of your appointment we will be requesting visa or mastercard information to hold your appointment.

Common Reasons for NOT getting a response:

-	Information Incomplete or Incorrect.
-	Unable to Contact You by Phone.

* This information is Required and must be Filled in Correctly to ensure response!

*  Patient's Full Name:

     Please select how you like us to reply back to you:

* Phone:     Alternate Phone:
  Please provide the phone number where we can reach you at all times.

* Your email address:

   Requested Appointment: (be as flexible as possible)
   First Choice:       Time:
Second Choice:       Time:

What country will you be traveling to:

Date of Departure:

Comments:

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