Doctors Manitoba | Membership Fees Renewal

Step 1

Personal Information
Step 2

Payment and Submit

Invoice Number *

First Name *

Last Name *

Email *

Email address where you would like payment confirmation sent.

Doctors Manitoba sends most member correspondence via email only, and we strongly recommend members maintain a current email address on file. Only “core” communications are mailed (e.g. invoices, rebate applications,etc.).

Preferred Communication *

Mail

Preferred Mailing Address *

Home

Office

For limited items that we only send via traditional mail to members, please select your preferred mailing address. If you have an update to your mailing address, please click here.

New Data About Members

To help us better understand potential issues and improve our ability to represent physicians, we are collecting new information about all of our members. Please complete the following two questions about your gender and race, ethnic or Indigenous identity to help us be a more inclusive and representative medical association.

Gender *

Man

Woman

Non-Binary

Two-Spirit

Agender

Other

Please specify

Race, Ethnic or Indigenous Identity *

Which of the following best describes your racial, ethnic and Indigenous identity? You can select one or multiple responses:

Black

Southeast Asian

South Asian

Middle Eastern

Indigenous (please specify)

White

Other (please specify)

Prefer not to say/don’t know

If you selected Indigenous, please specify

First Nation

Métis

Inuit

Other

If you selection "Other" please specify

Gender Pronoun

I agree to share my name and contact information with the Canadian Medical Association (Optional)

By checking this box, I agree that my name and email will be shared with the Canadian Medical Association (“CMA”) and used by them in accordance with the CMA privacy policy here. I understand that CMA and/or its affiliated companies may contact me via email. I understand that Doctors Manitoba is not responsible for the use by the CMA of my name and email address. I understand that by checking this box, I am not signing up for CMA membership.

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Membership Fees Renewal