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Respectful Workplace Complaint

Interlake-Eastern RHA is an active participant in provincial initiatives to improve equity for Indigenous, Black and Racialized individuals and communities by improving access and experience across our health system while making steps toward better health outcomes.

Interlake-Eastern RHA is an active participant in provincial initiatives to improve equity for Indigenous, Black and Racialized individuals and communities by improving access and experience across our health system while making steps toward better health outcomes.

Interlake-Eastern RHA is an active participant in provincial initiatives to improve equity for Indigenous, Black and Racialized individuals and communities by improving access and experience across our health system while making steps toward better health outcomes.

  1. The filing of this complaint does not guarantee that an investigation will occur. The complaint will be reviewed and an assessment made by the employer as to whether an investigation is warranted and/or whether an informal resolution process should be pursued.
  2. This document and any attachments that you provide in the course of filing a complaint will be held in confidence. The complaint form and its attachments may be disclosed to the respondent named in the complaint and to the investigator appointed to assist with the resolution of this complaint, as outlined in the policy procedures.
  3. Filing this complaint in no way limits your ability to consider other options such as a complaint under the Human Rights Code of the filing of a grievance under a collective agreement.

Emergency Response & Vulnerable Worker Self Declaration

If you need assistance in the event of an emergency situation due to being disabled by one or more barriers in the workplace, or a vulnerable worker we would like to work with you to develop an individualized emergency response plan that will meet your needs.

Please Note: that at this time we do not need to know the details of your medical condition or disability, only the kind of supports you may need. The information provided will be kept confidential. A member of Occupational Safety & Health (OSH) will contact you if you self-declare. The next step would be to work together on a plan.

Please Note: you will need to provide consent for us to share pertinent details, strictly on a need to know basis. For Example: if you need another person to assist you during an emergency, we would request that you allow us to share the relevant information with that manager, co-workers, or fire wardens as applicable.


Request to Conduct Research

Interlake-Eastern RHA supports and promotes research that contributes to the advancement of health care. If you are affiliated with a research project and you are seeking engagement with our patients, clients residents or staff, please fill out the following form.


Respectful Workplace Complaint

COMPLAINANT'S INFORMATION

Complainant’s Name

WHO IS THE COMPLAINT FILED AGAINST?

Accused's Name

Reason for Complaint?
This field is for validation purposes and should be left unchanged.

MPox (Monkeypox)

  • Mpox is caused by the monkeypox virus (MPXV), an Orthopoxvirus related to vaccinia, cowpox, and variola (smallpox) viruses. It can cause a painful rash, enlarged lymph nodes, fever and other symptoms. Most people fully recover, but some get very sick.
  • For the most current and up to date information, including vaccine eligibility, see the Mpox website. 
  • Preventive immunization for eligible people can be booked by contacting your Community Health Office.

French Language Services Questionnaire

The Interlake-Eastern Active Offer Policy states that the Interlake-Eastern Regional Health Authority shall ensure that health services are actively offered in both Official Languages to the extent possible in those areas where the French-speaking population is concentrated, in accordance with the Manitoba French Language Services Policy and the Interlake-Eastern French Language Services Plan.

Please complete the following if you have received health services in one of our designated areas (St. Laurent; Powerview-Pine Falls/RM of Alexander).


Regional Orientation Onboarding


Pledge of Confidentiality


Employee ID Tag Request

Employee ID Tag Request

"*" indicates required fields

EMPLOYEE INFOMATION

Legal Name*
(as it appears on your SIN card)

SHIPPING CONTACT & ADDRESS INFORMATION

(please complete in full to avoid delivery delays & returned mail)

TAG INFORMATION

Tag request for:*
Badge type:*
  • Lanyard or Clips are provided for NEW & LOST IDs, or if they are damaged
  • A non-refundable $20 fee. processed via payroll deduction for replacing LOST IDs
  • Damaged IDs must be returned to ID Badge Requests at: Corporate Office (please include this form)
  • Old IDs must be returned to Badge Requests at: Corporate Office (please include this form)
How would you like your name to appear on you ID
ID Bagde Image
DO NOT use abbreviations for Position

Accepted file types: jpeg, jpg, png, bmp, gif, Max. file size: 10 MB.
This field is for validation purposes and should be left unchanged.

Employee Demographics

Below please find additional forms and information, please note that these are not required to be completed and submitted unless you choose to do so: 

IERHA Payroll Calendar

TD1 Form – Provincial

TD1 Form – Federal

Guide To Viewing Pay Statements Online

Five Dollar Club Sign Up

Manitoba Blue Cross iCBT Information Sheet

How to Apply for Jobs on QSS

Patient Relations

A photo of two grandparents with their grandchild.

Do you have something to say about the healthcare services you have received in our Region? Do you have a question, a compliment or a concern?

We are here to listen and help

The Patient Relations department gives patients and families an opportunity to give feedback about their healthcare experience. We can help resolve concerns, or navigate the healthcare system. If your concern is regarding a loved one, we may need their consent to look into the matter.

If you are comfortable, talk to your care team. They know you best, and they may be able to address your concerns quickly.  You can talk to your doctor, nurse or the unit manager.

If you need help, or are not comfortable discussing matters with your team, you can contact Patient Relations.

Your concerns will be taken seriously. Some concerns can be resolved quickly, others may take time. During this process, you will receive regular contact from our office.  The lessons learned from the process help improve the quality of patient care in our Region.

We can be reached at 1-855-999-4742 or [email protected].
Or fill in our fillable form below.
Does your concern involve Emergency Response Services or Diagnostic Services through a medical laboratory?
Please contact: Shared Health Patient Relations 204-787-2704 or [email protected]

We try to return all calls within three business days. You can help by leaving your name, contact phone number, email and details of your concern including the facility where you received care.


Compliments and Concerns

"*" indicates required fields

Filled out by
Would you like a response to your comments?
Name*
This field is for validation purposes and should be left unchanged.

Mental Health Test Questionnaire


Well Wishes

A photo of a white wall with pinecones, snowflakes and pine tree leaves.

We welcome family members and friends to send well wishes to patients in hospital. Please use the form below to identify your message and staff in facility will print and deliver (and read if needed) your message to your intended recipient. An asterisk beside a field means it is required information.

We strive to distribute messages received during working hours (Monday to Friday, 8 a.m. to 3:30 p.m.) on the same day. After hours messages will be delivered the next day and messages received on the weekend will be delivered Monday. Statutory holidays will also affect timing of message delivery. 

PLEASE NOTE: Messages will not be forwarded in the event of a patient’s discharge or if no patient can be identified based on the information provided. This site is intended for the purposes of delivering well wishes only to hospital patients. We can not reply to patient inquiries through this website nor will we deliver messages sent for: conducting personal business, containing or requesting diagnoses and/or treatment information; business/vendor solicitations; questionable content given these parameters.

Please contact the hospital where the patient is admitted for all patient inquiries.


Well Wishes

"*" indicates required fields

Patient's Name*
Name of hospital where patient is currently located:*

NOTE: It is best to write your note in a word processing program and then copy and paste your text here as you won’t be able to see all of your words at one time in this field.
This field is for validation purposes and should be left unchanged.

Compliments & Concerns

Tell us! We’d like to hear your compliments and concerns.

At Interlake-Eastern RHA, we are committed to serving you with respect, care and compassion. We are here to listen and respond to your needs.

We offer a number of ways to communicate with us:

  • Complete the electronic form below. (Printed forms are available at all Interlake-Eastern RHA facilities.)
  • Compliment or concern? Call us toll free at 1-855-999-4742
  • General inquiries? Call us toll free at 1-855-347-8500 

Thank you very much for your comments and your efforts to make us a better RHA for you and your family. 

If you are not the patient / client / resident:

  • The Personal Health Information Act (PHIA) states that consent must be obtained from the patient/client/resident to discuss their health information with anyone other than the patient/client/resident. You may be asked to fill in a patient advocate agreement form before we can release health information with anyone other than the patient/client/resident.

Compliments and Concerns

"*" indicates required fields

Filled out by
Would you like a response to your comments?
Name*
This field is for validation purposes and should be left unchanged.
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