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New Data About Members (Optional)

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.

Race, Ethnic or Indigenous Identity (Optional)

We are asking members to identify their race, ethnicity or Indigenous identity to help us in our mandate to support all physicians. We never share this information in a way that can identify individual members. Click here to read more about why we collect this, how we keep it private, and how we use it.

Please check off one or multiple options below that best describes your identity.

  • He/Him
  • She/Her
  • He/They
  • They/She
  • She/He/They
  • They/He
  • They/Them
  • Xe/Xem
  • Ze/Zir
If your selected District Medical Society is different from that shown on the Membership Renewal Notice – please select your new District.
  • No Change
  • Concordia District Medical Society
  • Grace District Medical Society
  • Health Sciences Centre District Medical Society
  • Misericordia District Medical Society
  • St. Boniface District Medical Society
  • Seven Oaks District Medical Society
  • Victoria District Medical Society
  • Assiniboine District Medical Society
  • Brandon District Medical Society
  • Central District Medical Society
  • Eastman District Medical Society
  • Interlake District Medical Society
  • Northern District Medical Society
  • Parkland District Medical Society

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.