Cancer care manitoba form 2025

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  1. Click ‘Get Form’ to open the Cancer Care Manitoba New Patient Referral Form in the editor.
  2. Begin by filling out the General Information section. Enter demographic details such as the patient's name, date of birth, and contact information. Ensure that you complete all required fields marked in shaded text.
  3. Next, provide any relevant imaging reports or staging investigations. If diagnostic imaging has been performed, include those details in this section.
  4. Proceed to the Bloodwork section. Input results for any blood tests conducted, including CBC and other relevant findings. Attach copies of all available blood results.
  5. In the Other Information section, note any additional investigations that have been done or are pending. If tests are ordered but not yet completed, indicate their expected dates and locations.
  6. Finally, ensure that the referring physician signs the form before submission. Once completed, you can easily export or print your filled form directly from our platform.

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In January 2023, CancerCare Manitoba announced provincial funding for CAR-T therapy in Manitoba. Patients will soon be able to receive their treatment in Winnipeg. CancerCare Manitoba researchers are also working to develop novel CAR-T therapies for different types of cancers.
The Home Cancer Drug (HCD) Program is a Pharmacare program for Manitobans diagnosed with cancer that provides coverage for eligible outpatient oral cancer medications and select supportive care medications at no cost to the patient.
CancerCare is the leading national organization dedicated to providing free, professional support services including resource navigation, counseling, support groups, educational workshops, publications and financial assistance.
CancerCare Manitoba is committed to providing comprehensive patient care of the highest quality. We feel you should be aware of your rights and responsibilities. If you have any questions or concerns about your rights as a patient, feel free to contact the Patient Representative at 204-787-2065.
Founded in 1944, CancerCare is the leading national organization providing free, professional support services and information to help people manage the emotional, practical and financial challenges of cancer.

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As the provinces cancer authority, CCMB leads the way in shaping cancer services in Manitoba. We set the strategic direction for cancer care, focusing on long-term planning, innovative treatments, and prevention. We also develop provincial cancer care standards and ensure radiation protection across the province.
To help support you during this time, CancerCare Manitoba offers many programs and services such as counselling, support groups, information and education programs, nutrition counselling, speech language pathology and Telehealth. All of these services and programs are offered at no cost to you and your family.

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