Need a family Physician?

We currently have Doctors accepting new patients into their practice. If you would like to sign up with one of our Doctors, please fill out the form below. Our Doctor will want to set up an introductory appointment for you to get to know him/her and for them to get to know you.

We will call you to confirm your appointment choice, or to set one up.

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:

Do you have any Comments:
When is your Preferred Appointment:

Home About Us Our Team Pharmacy Contact

Wheat City Medical 1711 Kirkcaldy Drive, Unit C1 Brandon, MB R7A 0B9 Canada Clinic: 204-727-1711 Pharmacy: 204-727-1790