The CLPNM is the professional regulatory body for licensed practical nurses (LPNs) in Manitoba
Our duty is to regulate the profession in a manner that serves and protects the public interest
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Registration Renewal Notices
The renewal system opened on September 1. LPNs were given more than 10 weeks to submit their renewal applications, with a deadline of November 15.
If you have submitted your renewal application, and are continuing to work with the CLPNM to finalize your application, you have until November 30th to complete and submit all requirements.
If you have not started your renewal application, you are no longer eligible to renew, and your current year’s registration will expire at the end of the day on November 30th. You must then reinstate your registration if you wish to return to active practice.
The CLPNM will begin accepting reinstatement applications on December 1. We are unable to accept and process reinstatement applications prior to December 1, as our available staff resources are dedicated to processing the renewal applications of those who submitted their application by the November 15 deadline.
Starting Tuesday, November 2, the registration renewal fee increases by $135 (plus tax).
To avoid this late fee, be sure to complete and pay for your renewal before midnight on November 1.
- As in the past, registration renewal will open on September 1. On that date, registrants can access the renewal link in their online profile. For the best access to support, and for the best opportunity to submit any information that is found to be missing from your application before the deadline, you are strongly encouraged to complete your renewal application as soon as possible after September 1.
- Also as in the past, November 1 will be the last day to complete your registration renewal application, in full, prior to the application of late fees.
- NEW IN 2021: November 15 will be the last day to complete your online registration renewal application. The CLPNM will not accept registration renewal applications after this date.
From November 16 – 30, the CLPNM’s available resources will be dedicated to reviewing and processing the applications submitted by those who met the November 15 deadline. This processing time is required as a result of high volumes and to ensure that qualified and eligible applicants, who met deadline, can be approved before their current year’s registration expires.
If your renewal application is not completed before midnight on November 15, you will be required to reinstate your registration before returning to practice. The CLPNM will begin accepting applications for reinstatement on December 1. Note that reviewing and processing applications for reinstatement can take several weeks.
To avoid any gaps in your authorization to practise, you must complete your renewal application before midnight on November 15.
Read more on our Annual Renewal webpage
Contact us with questions at email@example.com
- The lowest fee applies September 1 – November 1.
- If your renewal application prompts us to need more information from you, you might run out of time to obtain that information and provide it to us if you complete your application late in the renewal period.
- If you have questions about your renewal application, we can better support you if you contact us early on. Near the end of the renewal period, call and email volumes tend to be very high leading to longer wait times for response.
The CLPNM strongly encourages all LPNs to apply for registration renewal as soon as possible after September 1.
The CLPNM communicates with its registrants mainly by email.
If we do not have your current email address, you will miss important notices that may affect your registration and your authorization to practise.
To make sure your contact information is up-to-date, login to your online registration profile here.
To read more about the importance of up-to-date contact information, click here.
Registration renewal season is fast approaching. When renewing your registration for the coming year, you will be asked to disclose whether you have a health condition, disorder, or addiction, that may cause a marked departure in your ability to practise safely, competently and ethically.
If you do have a condition that fits this description, disclosing it to the CLPNM is the right thing to do. It is also in your best interest to disclose this information to us as soon as possible.
The CLPNM has an obligation to ensure that everyone who holds a licence meets the criteria set out in The Licensed practical Nurses Act and Regulation. This criteria includes the following:
Licensed Practical Nurses Regulation
6(1) (d) The applicant must not
(i) suffer from a physical or mental condition, disorder, or addiction to alcohol or drugs…that makes it desirable in the public interest that he or she not practice practical nursing.
When we learn about a health concern that may affect capacity for practice, we will ask you a few more questions to help us determine the impact on client safety. Depending on your circumstance, that may be all the information we need. In some cases, we may need documentation from a health care provider, to help us assess the extent to which the condition presents a risk to the public, if at all.
If you are one of the registrants who requires documentation from a health care provider, getting us this information may take you some time. After we receive the information, our assessment also takes time. Each case is different, but in some circumstances, this assessment can take up to 8 weeks.
The earlier you let us know about your health condition, disorder or addiction, the earlier we can get the assessment process underway. This presents you with the best opportunity of having your assessment completed before your current year’s registration expires.
When should you let us know? As per the CLPNM Practice Direction on Fitness to Practice, you should reach out to us anytime you identify you have a health condition, disorder or addiction that may affect your ability to provide safe, competent and ethical care. If you are disclosing a new health concern to us during renewal season, you can do so on your renewal application, but it is important that you complete your renewal application as soon as registration renewal opens.
If you wait until late in the renewal period to submit your renewal application, and you have a health condition or addiction we do not already know about, you are taking on the risk that your renewal application might not be processed before your current year’s registration expires.
Note that many people who disclose health conditions on their renewal applications have their applications processed without delay and without restriction. We recognize that many health conditions do not affect safe practice, and even those that might affect practice may not be a risk to the public if the condition is well-managed.
- Renew early!
- Review our Practice Direction on Fitness to Practice
- Contact us with questions at firstname.lastname@example.org
As we know, beginning October 18, 2021, LPNs working in health care facilities or a regional health authority home care program* will be required, by orders under The Public Health Act, to provide their employer with proof of vaccination or to undergo COVID-19 testing at the frequency directed by their employer.
As October 18 approaches, LPNs who are not yet fully vaccinated may have questions about their professional obligations. The CLPNM is reminding LPNs that:
- Your Code of Ethics, as a regulated professional, asks you to “recognize your own personal values and beliefs, and take measures to avoid any negative impact on client care nursing practice, and the practice environment.” Your Code of Ethics also asks you to “take necessary actions to prevent or minimize harm to clients.”
- Provincial public health orders provide you with the option to undergo COVID-19 testing, and demonstrate negative results, as an alternative to being fully vaccinated. Therefore, while the CLPNM recommends vaccination, the CLPNM also notes that the personal choice to not be vaccinated does not excuse an LPN from attending scheduled shifts.
- If you have been assigned a shift, as per your employment agreement, you have a duty to provide care. The duty to provide care refers to a nurse’s professional and ethical responsibility to provide safe and competent nursing care to a client, for the time period that the nurse is assigned to provide service. Any failure to attend a scheduled shift, without reasonable justification as defined by the employer, may be deemed abandonment of care, a breach of your professional standards.
If you have made the personal choice not to be vaccinated for COVID-19, please continue to respect your clients’ rights to safe and ethical care and make choices that do not deprive them of access to competent nursing services.
To better understand your professional obligations, please review:
- Code of Ethics
- Standards of Practice
- Duty to Care Practice Direction
- Duty to Provide Care Guidance Document
LPNs working outside of the publicly-funded system (ie: self-employed) are also reminded to review their professional obligations. LPNs in the private sector are strongly encouraged to follow the spirit of the public health orders as they relate to vaccination status, COVID-19 testing, and the client’s right to informed consent.
It is important to know that the CLPNM investigates all submitted allegations of LPNs breaching professional standards. If you have questions or are unsure about how best to maintain your standards, in your professional and personal life, please reach out to the CLPNM at email@example.com. CLPNM consultants are here to help.
*For a full list of health care personnel who are subject to the Public Health Order, please see the definition of “designated persons” in the Schedule, which is accessible here: https://manitoba.ca/asset_library/en/proactive/20212022/orders-soe-vaccination-testing-designated-persons-09242021.pdf
Updated: September 24, 2021
The COVID-19 Pandemic has put extraordinary stress on the health system and on health care providers. Nurses [i] have been at the forefront of the pandemic response since the beginning. All nurses, by virtue of being members of a regulated profession, hold positions of trust and leadership. Actions and statements made by nurses, whether on duty or off duty, have the power to influence the public.
The CLPNM reminds all registrants that they are expected to practice and conduct themselves in accordance with the Standards of Practice, the Code of Ethics, and Practice Directions of their profession.
The CLPNM also reminds registrants that they must follow Provincial Public Health Orders.
Vaccination for Healthcare Workers
Nurses have a duty to provide clients with safe, competent, and ethical care. This includes taking appropriate measures to protect clients from harm. Protecting clients from harm has always included taking steps to decrease the risk of infection. Public health measures such as handwashing, vaccinations, masking, and physical distancing are effective strategies to help prevent the spread of COVID-19.
Evidence supports that widespread vaccination shortens the duration of disease outbreaks, maintains public safety, reduces the burden on the health care system, and keeps health care providers safe to care for clients in need. [ii] [iii] [iv] [v]
The Chief Public Health Officer of Manitoba has issued a Public Health Order that will require designated health care workers to be fully vaccinated for COVID-19 by October 18, 2021. (The deadline previously announced was October 31, 2021. This deadline was revised when the Public Health Order was issued). Those who cannot be vaccinated for valid medical reasons or who choose not to be vaccinated will be required to undergo frequent COVID-19 testing.
The CLPNM supports Manitoba’s COVID-19 Immunization Plan. It is based on scientific evidence and recommendations from the National Advisory Committee on Immunization (NACI), Manitoba’s vaccine implementation task force, and Manitoba’s public health leadership. Canada also has a comprehensive and stringent system to approve and monitor new vaccines.
Nurses have the professional responsibility to:
- adhere to policies and procedures of their employment setting [vii]
- take all reasonable steps to avoid doing harm [viii]
- recognize their own personal values and beliefs, and take measures to avoid any negative impact on client care, nursing practice, and the practice environment [ix]
The CLPNM recommends that all nurses, who provide direct client care, be vaccinated against COVID-19 (unless legitimate and rare medical reasons preclude vaccination) and encourages registrants to use current science-based sources and ethical frameworks as the foundation for their decision.
Providing Advice on Public Health Orders and COVID-19 Vaccines
Nurses are trusted health professionals. Views and statements made by nurses on important health issues that share or support misinformation can negatively impact the health and safety of the public. When clients ask a nurse for advice or opinion on Public Health Orders and/or COVID-19 immunization, they see the nurse as a trusted resource because of their professional designation. In keeping with this position of trust, the CLPNM expects nurses to provide clients with advice that:
- is within the practical nursing profession’s legislated scope of practice [x]
- uses known and accepted best practice and current scientific evidence [xi]
- provides accurate, unbiased, and timely information to facilitate informed decision-making [xii]
If providing guidance on immunization is not within an individual nurse’s professional role/scope of employment, the nurse must direct the client to a legitimate trusted source for more information or assessment. The preferred source is the Manitoba COVID-19 Vaccine website or the individual’s primary care provider. Nurses are reminded to review the CLPNM’s COVID-19 Vaccination Frequently Asked Questions and Manitoba Health’s COVID-19 Vaccine Clinical Practice Guidelines for Immunizers and Healthcare Providers.
The CLPNM reminds all registrants that although they are free to hold their own opinions, nurses must reflect on their professional obligations (and workplace policies) before engaging in public forums.
Nurses are reminded that the standards for the profession do not allow nurses to publicly (whether in-person or virtually) express health care related views that are not supported by scientific evidence, including anti-mask and anti-vaccination opinions. Nurses may wish to encourage respectful discussion about COVID-19 measures without contributing inaccurate, unreliable, or unproven information that is harmful to the public’s best interest.
Nurses are not entitled to use protected titles [xiii], in any form, to spread misinformation as members of a regulated profession. When a nurse communicates with the public and identifies as a nurse, implicitly or explicitly, they invoke their professional position as a nurse and are accountable to CLPNM and the public it protects.
Nurses are required to:
- display the characteristics and attributes of a professional [xiv]
- maintain at all times standards of personal conduct which reflect well on the profession and enhance public confidence [xv]
- adhere to licensed practical nurse legislation, regulations, by-laws, regulatory documents [xvi], while noting that Public Health Orders are part of the regulatory framework referred to here.
The CLPNM registrants, as members of a regulated profession, are required to support the mandate of the CLPNM to serve and protect the public. [xvii] The CLPNM’s practice expectations are defined in the Standards of Practice, Code of Ethics, Entry-Level Competencies, Nursing Competencies for LPNs in Manitoba, and CLPNM Practice Directions. Nurses found to be in violation of CLPNM standards are subject to investigation and possible disciplinary procedures.
Nurses who have questions or concerns about their ability to maintain their standards are encouraged to contact the CLPNM and speak with a Practice Consultant. The Practice Department can be contacted via email at firstname.lastname@example.org or by phone at 204-663-1212 or toll-free at 1-877-663-1212, ext. 307.
Public Health Resources
Covid 19 Vaccine Resources
- Government of Canada – COVID-19 Vaccines and Treatments Portal (for health professionals)
- Government of Canada – COVID-19 Vaccines (for public)
- Manitoba Health COVID-19 Vaccine
For More Information
Contact us at
204-663-1212 ext. 307
1-877-663-1212 ext. 307 (toll free)
[i] In this document, the term nurse refers to all CLPNM registrants, including licensed practical nurses, graduate practical nurses, student practical nurses.
[ii] Bloom, D. E., Cadarette, D., & Ferranna, M. (2021). The Societal Value of Vaccination in the Age of COVID-19. American Journal of Public Health, 111(6), 1049-1054.
[iii] International Coalition of Medicines Regulatory Authorities and World Health Organization. Statement for healthcare professionals: How COVID-19 vaccines are regulated for safety and effectiveness https://www.who.int/news/item/11-06-2021-statement-for-healthcare-professionals-how-covid-19-vaccines-are-regulated-for-safety-and-effectiveness
[iv] Thompson, et al. (2021). Effectiveness of COVID-19 vaccines in ambulatory and inpatient care settings. New England Journal of Medicine. https://www.nejm.org/doi/full/10.1056/NEJMoa2110362
[v] Canadian Nurses Association (2021). COVID-19 Vaccinations. https://www.cna-aiic.ca/en/coronavirus-disease/covid-19-vaccinations
[vi] Government of Manitoba and Shared Health. COVID-19 Vaccination Requirements for Health-Care Workers Memo. August 24, 2021; https://sharedhealthmb.ca/wp-content/uploads/covid-19-vaccination-of-health-care-workers.pdf
[vii] CLPNM Standards of Practice, page 7.
[viii] CLPNM Code of Ethics, page 7.
[ix] CLPNM Code of Ethics, page 11.
[x] CLPNM Entry Level Competencies, page 15.
[xi] CLPNM Entry Level Competencies, page 12.
[xii] CLPNM Code of Ethics, page 5.
[xiii] Protected titles include licensed practical nurse, graduate practical nurse, student practical nurse, or any variation, abbreviation, or equivalent in another language.
[xiv] CLPNM Standards of Practice, page 7.
[xv] CLPNM Code of Ethics, page 10.
[xvi] CLPNM Entry Level Competencies, page 15.
[xvii] CLPNM Entry Level Competencies, page 15.
In the context of the COVID-19 pandemic, LPNs are expected to:
- screen themselves for COVID-19 symptoms and risks, using screening criteria established by Shared Health Manitoba,
- disclose symptoms or risks for exposure to appropriate authorities, such as the employer,
- ensure their health status does not place clients at risk,
- ensure they are familiar with their employer’s policies on COVID-19,
- regularly visit the CLPNM website and Shared Health Manitoba website for updated guidance, refreshing the browser each time to ensure access to the most up-to-date information, and
- stay up-to-date on other credible sources of information regarding COVID-19 that may relate to their practice.
More Frequently Asked Questions
1. What are my accountabilities as an LPN during the COVID-19 pandemic?
All LPNs are accountable to meet their professional standards. In a pandemic situation, meeting standards includes, among other things:
- Making decisions that are in the best interest of your clients and protecting them from harm.
- Taking action when client care may be compromised, including identifying strategies to prepare for, reduce and resolve situations that may leave client without the nursing services they need.
- Protecting patients from infection risks. You can do this by:
- applying hand hygiene principles
- choosing appropriate measures to prevent and control infection transmission such as wearing personal protective equipment (PPE)
- understanding your workplace’s organizational policies about infection prevention and control
- working with your employer to develop new policies as needed
- using sources of evidence to inform your practice
To learn more, refer to Shared Health Manitoba’s Coronavirus Resources for Health-Care Providers and Staff. Note that Shared Health updates its resources frequently, so when visiting its website, you are encouraged to refresh (Ctrl + R) each time.
The following CLPNM resources may also assist you:
2. What are my accountabilities when providing care to a client diagnosed with (or suspected of having) COVID-19?
All LPNs are accountable to meet their professional standards. See question 1.
In addition, when caring for a client diagnosed with (or suspected of having) COVID-19, LPNs are expected to understand and apply precautionary measures to minimize the risk of infecting themselves, colleagues client and others. To learn more about these topics, refer to Shared Health Manitoba’s Coronavirus Resources for Health-Care Providers and Staff
The following CLPNM resources may also assist you:
3. Can LPNs collect nasopharyngeal and oropharyngeal swabs for COVID-19 in any setting?
Yes. LPNs can collect nasopharyngeal and oropharyngeal swabs for COVID-19 in any settings if they have the acquired competence and employer policy and/or guidance. LPNs can collect nasopharyngeal and oropharyngeal swabs for a client with a client specific order or following a clinical decision-making tool (i.e. protocol or standing order).
The following resources may assist you:
4. Can an LPN provide care for a client receiving mechanical ventilation?
Yes. LPNs must ensure they have the knowledge, skills, judgment and appropriate authority before performing any health care activity or procedure. The CLPNM expects LPNs to practice within their individual level of competency, and in accordance with the CLPNM Standards of Practice, Code of Ethics, and practice directions. LPNs with the demonstrated knowledge, skill, and judgment, and who are supported by employer policy and/or guidance, may provide care for clients receiving mechanical ventilation.
All LPNs are responsible and accountable for their practice, and must collaborate with their employers to ensure they have the competencies to fulfill their role. As with any new practice or task, if an LPN has never cared for a client receiving mechanical ventilation in practice, the LPN should ensure they receive the necessary (as determined by the employer) training and supervision until both parties agree that the LPN has the required competence to perform the procedure safely.
The following resources may assist you:
5. Due to the COVID-19 pandemic, my employer has asked me to work in an unfamiliar area. Can I refuse to work in that area?
Nurses from all designations and areas may be asked to work in unfamiliar areas or in new ways to provide nursing services related to the COVID-19 pandemic. We acknowledge this is an unprecedented time in health care and we recognize your efforts.
Nurses work in the best interests of their clients to set priorities, use critical thinking skills and apply professional, knowledge, skill, and judgment in these circumstances. Nurses seek out credible sources of information and follow best practice guidelines to provide nursing services and minimize the risk of disease transmission to themselves, their clients and others.
If you have concerns about your competence to work in an area, collaborate with your employer to problem solve, so that you can provide safe care and meet relevant standards of practice.
The following CLPNM resources may assist you in your decision-making:
- Duty to Care Practice Direction
- Duty to Provide Care Guidance Document developed by Manitoba’s three nursing regulators
- Determining Appropriate LPN Practice
- Nursing Competencies for Licensed Practical Nurses in Manitoba
You may also wish to contact the CLPNM Practice Department at email@example.com or 204-663-1212 (ext. 322)
6. Since the pandemic started, I have been asked to work in another area of the hospital that requires performing activities and procedures I am not familiar with. What are my accountabilities?
When assigned to an area that you are not familiar with:
- Perform activities that you are competent to perform.
- Identify your learning needs specific to the new practice setting. Are there ways to address them?
- Discuss your competency and expected responsibilities with your employer.
- Seek out and participate in appropriate, employer-approved training opportunities.
LPNs can continue to provide safe client care by seeking advice, collaborating and problem-solving with the health care team, and their employer to identify strategies to continue safe client care during this challenging time.
The following CLPNM resources may assist you in your decision-making:
7. Can I post information on COVID-19 on social media?
There are risks and benefits to posting and it is important to maintain public confidence in your profession. LPNs should not post information on social media that is not based in evidence or best practice, particularly if it might increase the anxiety levels of the public. For more information on your responsibilities related to social media use, read our Electronic Communication and Social Media Practice Direction. We encourage stakeholders that are seeking information on the pandemic to access evidence-based information that is available and updated daily from the Manitoba Health COVID-19 webpage or Public Health Agency of Canada webpage.
Other questions? Contact us at:
204-663-1212 (ext 322)
1-877-663-1212 toll free (ext 322)
The events and announcements of this past week may raise several questions for LPNs, employers, retirees, applicants, practical nursing graduates and practical nursing students.
Are Manitoba LPNs authorized to participate in the vaccination program?
Yes. The Ministerial Order does not explicitly name LPNs among the groups of individuals authorized to participate in the program, because vaccination is already included in their scope of practice. LPNs should assess their individual competence, and access additional education if a refresher is required.
Do LPNs require a client-specific order to administer a vaccine?
LPNs do not require a client-specific order when the vaccine is administered as part of a publicly-funded provincial immunization program, or a communicable disease response.
Can all practical nursing students participate in the vaccination program?
Eligibility requirements for practical nursing students include: being actively enrolled in the DPN program; being in their second year of the program; having completed the COVID-19 vaccination training program offered by Red River College; and being employed by a regional health authority, Shared Health, or a designated pandemic response service provider. The employer may advise of additional eligibility requirements.
Where can I access the job postings?
If I am a former LPN, do I need to reinstate my licence to administer vaccines as part of this program?
No. You do not need an active licence with the CLPNM if you are a retired LPN, however, you must complete the vaccine administration course offered by Red River College. You must also be employed by a regional health authority, Shared Health, or a designated pandemic response service provider. In addition, you are only eligible if you left the CLPNM register in good standing. You must not hold yourself out as an active member of the profession, or use the titles Licensed Practical Nurse or LPN, when working as part of the vaccination program.
I am qualified to practise nursing in a jurisdiction outside of Manitoba, but I do not hold registration with any nursing college in Manitoba. The Ministerial Order now authorizes me to administer COVID-19 vaccines in Manitoba, when working as part of the provincial immunization program. Am I practising as a nurse when I work as part of this program? Can I call myself a nurse? Can I count my hours as “practical nursing practice” hours?
No. The performance of this task does not qualify as practical nursing practice, for the purpose of CLPNM policy, unless it is performed by an LPN who is registered in Manitoba and who, as an active practising LPN, would be expected to apply their nursing knowledge and judgment, as well as skill, when performing the task. Unless you hold registration with the CLPNM, you cannot use the titles associated with the profession in Manitoba, such as Licensed Practical Nurse or LPN.
Yes. Collecting samples by nasopharyngeal swab is within the scope of practice of the practical nursing profession in Manitoba. Manitoba’s LPNs have the authority to perform this activity if they are competent to do so and supported by employer policy.
The recent Ministerial Order, which authorizes certain groups to obtain nasopharyngeal swab specimens, does not mention LPNs. Why?
On November 30, 2020, the Minister of Health issued a Ministerial Order authorizing certain groups to obtain nasopharyngeal swab specimens for the purpose of COVID-19 testing. The order did not mention LPNs; however, this is because this activity already falls within the scope of practice of the profession in Manitoba. There was no need to provide LPNs with additional authority.
Are LPNs required to take the micro course offered by Red River College?
No. LPNs, in general, are not required to take the Red River College micro course in order to be authorized to collect samples by nasopharyngeal swab. An employer may choose to recommend the course for an individual LPN, or the LPN might choose to take the course, if the LPN would benefit from a refresher of entry-level nursing knowledge and skill.
I am not registered with the CLPNM, or one of Manitoba’s other two nursing regulators. However, I am qualified to practise as a nurse in another jurisdiction, and under the new Ministerial Order, I am now authorized to collect samples by nasopharyngeal swab in Manitoba. Am I practising as a nurse when I collect these samples? Can I call myself a nurse in Manitoba?
No. The order authorizes several groups to perform this task, including several groups of unregulated health care providers. The performance of this task does not qualify as practical nursing practice, for the purpose of CLPNM policy, unless it is performed by an LPN who is registered in Manitoba and who, as an active practising LPN, would be expected to apply their nursing knowledge and judgment, as well as skill, when performing the task.
During these challenging times, LPNs are encouraged keep their own health and well-being a priority. The following resources offer mental health support to health care professionals, including nurses, who are facing the pressure of working on the front lines during the COVID-19 Pandemic.
- Blue Cross Employee Assistance Program (if included in your employer’s benefit plan): Connect Now – Talk to a professional during COVID-19
- Canadian Mental Health Association: Information, resources and tips for health care workers dealing with COVID-19
- Canadian Psychological Association, Psychology Works for COVID-19: Free psychology sessions for health care front line workers
- Government of Manitoba: Mental Health Virtual Therapy Program
- Indigenous Health: Indigenous Cultural Healing Supports During COVID-19
- Manitoba Adolescent Treat Centre: Child and Adolescent Mental Health and Youth Addiction Services
- Seattle Children’s Hospital Helping Children and Teens Cope with Anxiety About COVID-19
- Shared Health and the Regional Health Authority Mental Health Programs: Virtual Crisis Response Services (Adult)
- Shared Health: Staying Grounded Staff Booster Sessions
- Sara Riel inc.: Mental Health Support for Manitoba PCH Employees
- Your employer’s employee assistance program (if applicable)
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