Book Your Appointment

Please fill out this form to book the appointment. All fields must be filled out.

Select a Service and a Pharmacy+
Step 1: Select a Service+   
1. Service: striper Service+  

You will be booking an appointment for the first dose only. You will receive a reminder when it is time to book your second dose from our pharmacy.

Please read and give your consent to proceed.



Please note: Patients who have undergone a double mastectomy or have bilateral lymph node damage / removal must book an appointment through Alberta Health Services.
Step 2: Select Pharmacy+  
2. Pharmacy: striper LOCATIONe+  

No pharmacy Selected!
Practice:
Doctor:


Select a Service Date and Time+
Step 3: Select a Date+  
3. Date: striper DATE+  
Date:
Step 4: Select a Time+  
4. Time: striper TIME+  
Your appointment will be approximately XX minutes long
Please select a time of the day
Select a Reminder Method and Sign up or Login+
Step 5: Reminder Method/Contact Info+  
5. Reminder: striper REMINDER+  
You will receive a reminder 24 hours before your appointment. Would you like to receive the reminder by email or a text message (SMS)?

Please enter your contact information:
Email *
Phone *
Review & Finalize+
Summary / Finalize+  
Summary: striper SUMMARY+  
Appointment Summary - appointment not yet booked.

 Appointment Type:
  

Location:
  

Address:
  

Phone:
  

Date:
  

Time:
  

Reminder Method:
  

Booking email:
  


Booking Complete

Your appointment has been booked. Please see the summary below.



Appointment type:


Pharmacy:



Tel:

Date:
Time:


Preferred patient reminder method:


Appointment contact:



IMPORTANT INFORMATION
Need to cancel or reschedule your appointment?

Please find the "Your appointment has been booked" email to see your appointment information. You can use it to review, reschedule, or cancel your appointment.



You can also review, reschedule or cancel your appointment anytime by visiting the website:


https://onlinebookings.calgarycoop.com/cancellation.html

If you have not received the email, or if you are having issues accessing your booking, please contact the selected pharmacy at [email protected].