Manitoba Department of Health, Seniors and Active Living Forms

This document is for requesting and justifying medical supplies in Manitoba, Canada. It is used to ensure that necessary supplies are available in healthcare facilities.

This document is used for requesting a child abuse registry self-check in Manitoba, Canada. Applicants can apply for this check via mail.

This form is used for notifying any changes in Manitoba, Canada.

This form is used for applying to the Unified Referral and Intake System (URIS) Group A in Manitoba, Canada. It is a system for referring and managing services for individuals with disabilities.

This document is used for renewing certification as a hearing aid dealer in Manitoba, Canada.

This document provides a detailed immunization schedule recommended for infants, children, and adults residing in Manitoba, Canada. It helps to keep track of necessary vaccinations and their timings for different age groups, ensuring overall health and protection against various diseases.

This form is used for reporting the administration of vaccines for clients in Manitoba, Canada who either do not have a PHIN (Personal Health Identification Number) or are not found in the PHIMS (Public Health Information Management System).

This form is utilized to obtain consent for seasonal Influenza or Pneumococcal vaccination in the province of Manitoba, Canada. It ensures the patient's understanding and willingness to undergo immunization, providing the necessary protection against specific illnesses.

This Form is used for coverage and prescription of medication for HIV Post-exposure Prophylaxis (PEP) in Manitoba, Canada for adults and pediatric patients aged 13 years and older weighing at least 30 kg.