Foothills Medical Clinic

You may be sharing personal information when you submit this form. Consent is required to receive a reply. Please confirm that you are providing consent to receive a reply from physical activity services with your non-encrypted personal information submitted in the email below, and that you understand and accept the risks of sending / receiving your personal information through email. Please do not submit personal information or requests on behalf of someone else unless you are the parent or guardian of a minor who is incapable of acting on their own behalf.