Doctors Manitoba | CME Rebate Claim Form (2022)

Step 1

General
Step 2

Events
Step 3

Series
Step 4

Other Expenses
Step 5

Banking and Submit

Please complete all pages in this form and ensure you click submit to complete your application. If you have not already signed up for direct deposit, you will have the opportunity to sign up during the application process. You will need to have a cheque and a photo of your cheque to enroll.

The deadline to apply is December 31, 2023.

Doctors Manitoba ID

You can find your Doctors Manitoba ID on the letter sent to you.

First Name *

Last Name *

Email *

Confirm Email *

Phone *

Please Answer All Questions

For information on compensation criteria, eligibility and frequently asked questions, click here.

During the 2022 calendar year, how many months did you practice medicine in Manitoba? *

Do not deduct time away spend on vacation, CME, maternity/parental leave, or temporary disability.

Other Compensation - Did you receive CME compensation in 2022 from a salaried or alternate funded contract negotiated by Doctors Manitoba? *

(e.g. from a community clinic, RHA contract, urban ER community hospital contract, etc.)

Yes

If yes, how much? *

And what source? *

The deadline for receipt of your claim is December 31, 2023.

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2022 CME Rebate Claim Form

Please Answer All Questions