Information for Health Professionals

Health professionals and the Wheelchair Services program together play a very important role in meeting the needs of Manitobans who are mobility disadvantaged. Through this partnership the consumer is better served.

To assist Health Professionals who prescribe wheelchairs through the Manitoba Community Wheelchair Program please open The Manitoba Community Wheelchair Program Policy and Procedure Manual. This outlines program policies, eligibility criteria, procedures for prescribing mobility equipment through this program and a detailed listing of the equipment provided through the program.

For specific service requests and application forms, please slect one of the following PDF forms below:

Manitoba Wheelchair Program Policy and Procedure Manual

Power Wheelchair Application

Power Dynamic Positioning Device Assessment Procedure

Power Wheelchair Follow Up or Exchange Application

Power Dynamic Positioning Device Exchange Application

Power Dynamic Positioning Device Request Form

Guidelines for Prescribers of Category 4 Ultra Lightweight Wheelchairs

Category 4 Ultra Light Wheelchair Request Form

Letter of Support for Category 4 Manual Dynamic Tilt

Manual Wheelchair Request Form

Manual Wheelchair Request Form - French