Forms and Policies

We offer a limited number of forms and policies online for the convenience of those who have already been referred to us.

If you have questions about any of these forms, please call us at 204-831-3420.

  • Code of Conduct – We work to ensure a respectful environment for everyone at the clinic.
  • Confidentiality Policy – As a public clinic, we follow a strict confidentiality policy that conforms with provincial legislation and is respectful of patients’ privacy.
  • Intake Package – To be completed by those who have an intake appointment. This is not a referral form. To get a referral, contact the appropriate federal referral bodies to see if you are eligible. Please note that if you have an intake appointment scheduled, this form will also be mailed to you.
  • Medical Services Related to Special Ops – Have you been involved in Special Ops or other classified operations? See this information sheet which addresses a common question.
  • Veterans Affairs forms – We do not provide VAC forms directly. To obtain VAC forms or ask questions on any VAC policy matter, please call the Contact Centre at 1-866-522-2122 or visit the VAC website on our Links page.