Contact Us

The UBC Pharmacists Clinic is bound by professional and privacy legislation. We respect and uphold an individual's right to privacy and to protection of personal information.
We use Medinet Mail to securely transmit and receive confidential information using your e-mail address.


Your Information  (mandatory)

Last Name:
First Name:
Birth Date:
 
                

How can we Contact you?

  (Please provide both your e-mail and phone #)

I authorize the UBC Pharmacists Clinic to respond to me using secure Medinet Mail.
E-mail address:
Enter e-mail again:

I authorize the UBC Pharmacists Clinic to respond to me via telephone.
Primary Phone:

Your Details

Reason for contact:
Your message:

Add attachments:
 
To delete an attachment untick the checkbox.
 
Uploading...
Your Preferred Appointment Days/Times, 2016

Please select all your available dates/times. We will do our best to accommodate you.

Date/Time Any time 10:00
to
10:30
10:30
to
11:00
11:00
to
11:30
11:30
to
12:00
12:00
to
12:30
12:30
to
1:00
2:00
to
2:30
2:30
to
3:00
3:00
to
3:30
3:30
to
4:00
4:00
to
4:30
4:30
to
5:00
Tues, Nov 1            
Wed, Nov 2            
Thurs, Nov 3            
Continue
 
Back