Wheat City Medical Clinic

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Wheat City Medical Clinic

Wheat City Medical Clinic is here to serve the Westman community. If you would like to contact us about becoming a patient of one of our family practice physicians, please provide the following information:

Name:


Phone Number:


Address:


Postal Code:


Date of Birth:


Manitoba Health:


PHIN:


Do you have a preference for which doctor you wish to see?


Yes No


If 'yes', please indicate which physician you wish to see:

A member of our staff will be in contact with you to confirm your registration with our clinic.

Confidentiality is respected at all times. The information provided above will be kept in confidence and used only for the purposes of booking appointments.

We look forward to establishing a healthy relationship with you!

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