Forms

Annual Membership Form  

Application to Join The MVMA 
For veterinary graduates not currently licensed in Manitoba 

Continuing Education Personal Record Card
Helping members keep track of their own CE credits

Consulting Member Registration 
Required to register veterinarians practicing in a consultative capacity

MVMA Fee Schedule
Fees associated with licensure in Manitoba

 

Specialty Clinic Applications

Allergy Specialty Clinic 
Referral Questionnaire for Dr. Yu -  Oakbank Animal Hospital Dermatology Clinic

Notice of Specialty Clinic
Advance notification of the hosting of a specialty clinic is required. A specialty clinic encompasses preventative health and rabies clinics or other similar types of relevant practice. 

Remote Area Companion Animal Temporary Clinic 
To practice in areas removed from accredited veterinary clinics/hospitals (250 kms away at least or without year round access)

 

Practice Inspection Forms

Practice inspection form

Inspector's report (Also used for self-inspections)

 

Canadian Food Inspection Agency Forms

Guidelines for Reporting suspected adverse events relating to veterinary biologics
CFIA Form 2205 - Notification of Suspected Adverse Events to Veterinary Biologics

 

For Intra-Clinic Use

Authorization to release medical records - this form lets you secure client permission to transfer personal information contained in files from one clinic to another in the case of client transfer or referral

Please print the required form and submit to the MVMA: 

1590 Inkster Boulevard, 
Winnipeg, Manitoba, R2X 2W4 
Fax: 1 (204) 832-1382

MVMA Senior Student Registration Form 
For any person currently following a course of studies at an accredited college of veterinary medicine and who has successfully completed all but the final year of the course studies.

 

Veterinary Corporation Forms

Application For Certificate Respecting Corporate Name

Application For a Veterinary Corporation Permit

MVMA Incorporation Information Guide

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