Doctors Manitoba is collecting names of physicians with capacity to provide medical care to Ukrainians arriving in Manitoba.

While there is no immediate request for services, we are compiling this list now in anticipation of a need in the near future.

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* 1. Please enter your name

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* 2. Please enter your Name and Contact Information

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* 3. Which Health Region do you work in primarily

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* 4. What is your primary work location? (Name of clinic or health facility)

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* 5. Are you proficient in any of the following languages? (check all that apply)

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* 6. What types of medical care / services can you offer? (e.g. family medicine, obstetrics, etc.)

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* 7. What capacity do you have to help?
For example, describe how many patients you could take for primary care, or your capacity for specialty care.

Please complete you submission by clicking "Done" below. 

Note: By submitting your name and information below, you are consenting to Doctors Manitoba sharing this information with Shared Health, Manitoba Health and other partner organizations involved in resettlement assistance and medical care for Ukrainians arriving in our province.
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