Disability and Health Supports Unit
Effective September 26, 2025, workers at Canada Post are on strike, and mail delivery is affected. This website will be updated as soon as possible with information about how you can get your benefits.
Request and Justification Forms
The Disability and Health Supports Unit (DHSU) follows current partner program policies and legislation to determine eligibility for medical supply/equipment and diet requests. All requests must be completed by a health professional using the following forms:
- Medical Supply Request and Justification Form (PDF 170KB)
- Medical Equipment Request and Justification Form (PDF 252KB)
- Therapeutic Diet and Nutrition Supplement Request and Justification Form (PDF 176KB)
- Wheelchair Seating Component Request and Justification Form (PDF 411KB)
- physicians,
- registered dieticians,
- registered physician assistants,
- registered nurse practitioners,
- licensed practical nurses,
- registered nurses,
- registered midwives,
- occupational therapists,
- physical therapists,
- respiratory therapists, and
- speech language therapists.
Contact
If you require a form to be mailed you, or if you have any questions, please contact us.
Alternate Format Requests
For alternate format requests, please contact the Department of Families Accessibility Coordinator:
Department of Families
Accessibility Coordinator
205 - 114 Garry Street
Winnipeg, MB R3C 4V4
Phone: 204-945-3744
Email: fswebunit@gov.mb.ca
For general inquiries contact Manitoba Inquiry
