If you wish to receive a text message reminder, please provide your cell phone number.
Protection of Privacy - The personal information requested on this form is collected under the authority of Section 33 (c) of the Alberta Freedom of Information and Protection of Privacy Act and will be protected under Part 2 of that Act. It will be used for the purpose of sending appointment notification reminders. Direct any questions about this collection to: email@example.com
You will receive a text message reminder before your appointment