Contact Form

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, or for any other reason, please provide the following information:

Name:

Phone Number:

Email:

Address:

City:

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. 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 serving you!