informalberta
primarycarealberta

Electronic Update Request - Service Profile : Environmental Public Health - Water Sample Bottle Pick-up and Drop-off

If you need help completing a change request, hover over the circle with the question mark and a short description of the field will display.

Please include inclusive language when making changes.
water testing bottles (Other)
testing water (Other)
Check NOC List
Eligibility Note cannot be blank since the eligibility is set to Yes.

Select checkbox to remove location from this service.
Please click on the location name in order to update service information at that particular location.

Please enter contact name.
Please provide a phone number or email.
Please provide a valid email.

If this submission is successful, and you have provided your email address, you will receive an email confirmation.
If you do not receive this, please contact healthlink@primarycarealberta.ca