Appointment Booking

For immediate assistance, please call 1-780-715-4424 (24 hours/days, 7 days/week)

or send us an email to the confidential email address: bookings@medikanorth.com

Request an Appointment through the online form below: Please use the form below to request an appointment and a Medika North representative will contact you to complete the booking. Note: submitting a request form does not confirm an appointment.

At Medika North Inc. we protect your privacy and have internal policies/procedure’s to safeguard your sensitive information. This online booking form is secured with our IT protection internal controls to ensure your data is kept safe and handled with strict confidentiality. By filling out this form, you have provided – CONSENT to the collection and use of your information as outlined in accordance with Canadian privacy laws, giving – Medika North Inc. consent to review and reach out to you for the purpose of your request.

Booking Form

Donor Information

Donor Name
Donor Name
First (as it appears on driver's license)
Last (as it appears on driver's license)

Designated Employer Representative (DER)

DER's First Name
DER's First Name
First
Last

Appointment Preferences

Appointment Time
Booking Confirmation Method(s)
Testing Services Required

Requestor Information

Requestor's Name
Requestor's Name
First
Last