Medical Supply Request and Justification Form

The DHSU follows current partner program policies and legislation to determine eligibility for medical supply/equipment and diet requests. All requests must be completed by a health professional.

Form: http://www.gov.mb.ca/fs/dhsu/pubs/medical_supply_request_form.pdf (PDF)

Website: http://www.gov.mb.ca/fs/dhsu/request_page.html


Main Office

Provincial Services, Families
102 - 114 Garry St
Winnipeg , Manitoba R3C 4V4
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T: 204-945-2197
1-877-587-6224 (in Manitoba)
F: 204-945-3930
Fax Disability and Health Supports Unit (DHSU): 204-945-1436

Winnipeg Office(s)

Winnipeg
Employment and Income Assistance, Jobs On Market
Main Floor - 128 Market Ave
Winnipeg , Manitoba R3B 3N2
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T: 204-948-5627
F: 204-948-4168

Point Douglas Office
2A - 111 Rorie St
Winnipeg , Manitoba R3B 3N1
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T: 204-948-4001
F: 204-948-1334

Downtown/Main
896 Main St
Winnipeg , Manitoba R2W 3P3
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T: 204-948-4306
F: 204-948-4360

Fort Garry/River Heights
Access Fort Garry, 135 Plaza Dr
Winnipeg , Manitoba R3T 6E8
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T: 204-938-5500
F: 204-938-5311
TTY:204-948-4464

Health and Social Services Centre
Access Winnipeg West, 280 Booth Dr
Winnipeg , Manitoba R3J 3R7
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T: 204-940-2040
F: 204-940-2636

Downtown
Health and Social Services Centre , 755 Portage Ave
Winnipeg , Manitoba R3G 0N2
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T: 204-940-8600
F: 204-940-8481

St. Boniface Office
Accès Access St. Boniface, 170 Goulet St
Winnipeg , Manitoba
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T: 204-948-4290
F: 204-948-3282

Downtown
Access Downtown, 2 - 640 Main St
Winnipeg , Manitoba R3B 0L8
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T: 204-940-8441
F: 204-940-8383

NorWest Access Centre
785 Keewatin St
Winnipeg , Manitoba R2X 3B9
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T: 204-938-5900
F: 204-938-5994

Access Transcona
845 Regent Ave W
Winnipeg , Manitoba R2C 3A9
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T: 204-938-5555
F: 204-938-5296

Seven Oaks Health and Social Services Centre
Unit 3 - 1050 Leila Ave
Winnipeg , Manitoba R2P 1W6
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T: 204-938-5600
F: 204-938-5609
TTY:204-336-0450

Employment and Income Assistance Centralized Services
1 -111 Rorie St
Winnipeg , Manitoba R3B 3N1
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T: 204-948-4000 Winnipeg Intake
F: 204-948-4048

Access River East
975 Henderson Hwy
Winnipeg , Manitoba R2K 4L7
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T: 204-938-5100
F: 204-938-5229

Rural Manitoba Office(s)

20 1st St S, Box 50
Provincial Building
Beausejour , Manitoba R3J 3W3
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T: 204-268-6028 Intake for Eastman
1-866-576-8546 (in Manitoba)
F: 204-268-6048

101 - 446 Main St
Provincial Building
Selkirk , Manitoba R1A 1V7
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T: 204-785-5105
1-866-475-0215 (in Manitoba)
F: 204-785-5157

2nd Floor, 340 9th St
Provincial Building
Brandon , Manitoba R7A 6C2
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T: 204-726-6438
1-866-726-6438 (in Manitoba)
F: 204-726-6434

242 - 323 Main St
Steinbach Place
Steinbach , Manitoba R5G 1Z2
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T: 204-346-6390
1-866-682-9782 (in Manitoba)
F: 204-346-6394

309 - 27 2nd Ave SW
Provincial Building
Dauphin , Manitoba R7N 3E5
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T: 204-622-2035
1-866-355-3494 (in Manitoba)
F: 204-638-9921

201 4th Ave S, Box 997
Provincial Building
Swan River , Manitoba R0L 1Z0
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T: 204-734-3491
1-888-269-6498 (in Manitoba)
F: 204-734-5151

102 - 143 Main St,, Barrow Provincial Building
Flin Flon , Manitoba R8A 1K2
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T: 204-687-1700
1-866-443-2291 (in Manitoba)
F: 204-687-1708

The Pas District Office, Northern Region
3rd St and Ross Ave, Box 2550, Provincial Building
The Pas , Manitoba R9A 1M4
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T: 204-627-8311
1-866-443-2292 (in Manitoba)
F: 204-627-8265

290 North Railway St
Morden , Manitoba R6M 1S7
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T: 204-822-2870
1-888-310-0568 (in Manitoba)
F: 204-822-2879

Main Floor, 59 Elizabeth Dr, Box 22, Provincial Building
Thompson , Manitoba R8N 1X4
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T: 204-677-6570
1-866-677-6713 (in Manitoba)
F: 204-677-6517

25 Tupper St N
Provincial Building
Portage La Prairie , Manitoba R1N 3K1
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T: 204-239-3110
1-866-513-2185 (in Manitoba)
F: 204-239-3198