This is the InSight Mentor Program intake form, which is completed with new participants. Information about the participant's health, substance use, current or most recent pregnancy, and use of community services.
Department/Crown:Families
This form is completed with InSight Mentor Program participants after they have been in the program for two years, to capture changes to their life circumstances since intake, and since completing the Year 1 Check-In.
Department/Crown:Families
This form is completed with InSight Mentor Program participants after they have been in the program for three years, to capture changes to their life circumstances since intake, and since completing the Year 2 Check-In. This form also functions as an exit interview, since participants complete the program after three years.
Department/Crown:Families

This policy guide provides an overview of the InSight Mentor Program, as revised from the P-CAP (evidence-based program model) Manual. Includes information on hiring and training staff, referring and recruiting participants, program administration, information on working with participants, and relevant resources.

Department/Crown:Families
This form is signed by InSight Program Participants who volunteer to participate in Healthy Child Manitoba's evaluation of the InSight Mentor Program. The form outlines the ways in which the participant's personal information is collected and protected.
Department/Crown:Families
This document is a sample letter sent by the Disability and Health Supports Unit to notify of the approval of a home modification request for a child open to Children's disABILITY Services.
Department/Crown:Families
This document outlines requirements to be submitted to Manitoba's ELCC Program when applying for a licence for a child care centre or nursery school. The application package includes basic information about the sponsoring group/individual, type of child care operation, number and ages of children to be cared for, policies, operating procedures, and floor plans.
Categories:Families, Licence
This form is completed at the 6 month, 18 month, and exit stages of the program. It collects information on current services/supports, caregiver work attendance, caregiver understanding of FASD, caregiver stress levels, family outcomes and satisfaction with the program; and their child's school attendance.
Department/Crown:Families
This policy establishes the extent of service provided to families within the program and provides staff with procedures to help them guide families towards self sufficiency.
Department/Crown:Families
This form is completed 3 months after a family has exited the program. It collects information on current services/supports, caregiver work attendance, and if the family has been in contact with their Key Worker since exiting the program.
Department/Crown:Families
This policy assists staff to respond to requests for service and referrals to the program, as well as requests for presentations on FASD from the community.
Department/Crown:Families
A survey collecting information on the family's perceived ability to interact with service systems, parent organizations, and the services their child and family receive.
Department/Crown:Families
This form collects background information on the family and their child, family connection to services/supports, caregiver work attendance, caregiver understanding of FASD and stress levels; and their child's school attendance.
Department/Crown:Families

This application is for adult adoptees (18+ years of age) to apply for post-adoption services. Post-Adoption Services include requesting birth documents, requesting a non-identifying Social History and registering for contact with and search services for birth family members.

Department/Crown:Families
Category:Families
Manitoba Developmental Centre's Consent for Medical Treatment and Procedures form. This form documents consent by a resident or substitute decision-maker to specified medical treatment or procedures.
Department/Crown:Families
Manitoba Developmental Centre's Dental Appointments Policy. Residents of the Manitoba Developmental Centre will be provided with routine oral health assessments and/or required dental treatment.
Department/Crown:Families
Manitoba Developmental Centre's (MDC) Release of Body form. This form documents directions to the funeral home about the requirements associated with the release of a deceased resident's body.
Department/Crown:Families
Manitoba Developmental Centre's (MDC) Therapeutic Recreation Outreach Network (TRON) Photo & Artwork Display Release form. This form documents permission for the use of participant photographs or artwork in TRON communication materials, displays or events such as art shows.
Department/Crown:Families
Manitoba Developmental Centre's Visitors Policy. Residents will be supported to establish and maintain meaningful social relationships through visits from family members, friends and other supportive individuals in a safe and therapeutic environment.
Department/Crown:Families
Manitoba Developmental Centre's Volunteer Program Policy. This policy outlines how volunteers are to be screened, oriented, trained, placed, evaluated and recognized.
Department/Crown:Families
Manitoba Developmental Centre's Discharge Policy. Discharge is done in a manner that promotes individual growth and identifies personal strengths, preferences, needs, required services and outcomes that ultimately enhance their quality of life.
Department/Crown:Families
Category:Families
This document is a medical mileage transportation form that provides specific details of medical appointments, and transportation costs to be completed by the EIA participant and EIA staff.  Receipts for bus fare and parking costs must be attached when submitting this form to be processed. 
Department/Crown:Families
To become a foster home under the Foster Home Licensing Regulations, the perspective foster parent must  submit information as to the applicant's physical and mental health being a medical reference from a medical practitioner or another health care provider or information obtained through a process approved by the mandating authority. This is the form used.
Department/Crown:Families
Categories:Application, Families

CSA Checklist Cover Letter - is a cover letter for the Compliance Site Audit (CSA) Checklist. The CSA Checklist is a tool to help our groups prepare documents that we need to examine while completing an onsite compliance audit.  The checklist helps to ensure that nothing is overlooked during the compliance audit. Government issues this letter.

Last updated: March 21, 2023.

Department/Crown:Families
Manitoba Housing form for service providers to identify contact information, board membership and other essential agency profile information.
Department/Crown:Families