Book Appointment – Humana Medical Clinic

Our Medical Personnel are available to care for your health.

To book a same day URGENT appointment please call us on the day you would like your appointment, when we open.

Fields marked with an * are required

Name *

Last Name: *

Phone Number *

Email *

Gender

Emergency Contact Phone Number

Do you have a valid government-issued Health Card?

How did you hear about us?

Preferred Doctor

Type additional information or Questions

Agreement: Information Disclosure *

Declaration: Health Information Act of Alberta Section

As myself
As a guardian on behalf of a minor child
As a guardian of an adult under the Dependent Adults Act on his/her behalf
As a designated agent of an adult under the Personal Directives Act on their behalf
As an authorized relative of a patient as defined in the Mental Health Act

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