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 Message

Reason for contact:
Detail:

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Your Preferred Appointment Days/Times

Please select all your available dates/times. We will do our best to accommodate you. You will receive and e-mail confirmation within 2-3 business days confirming your appointment date and time.

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
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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, Oct 29            
Thur, Oct 31            
Wed, Nov 6            
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