Prior to the medical exam appointment provide your doctor the following information as early as possible.
- Family name and given name as it appears on passport/application
- Gender M/F
- Date of birth (please indicate month by spelling the first 3 letters)
- Address -your preferred contact address
- Phone number (indicate home# or mobile#) and email address
- Country of birth
- Identification, preferably passport, number (please note the type, code and number of passport), country of issue,date of issue ,and expiry date. The country code is usually the first 3 letters of the country of issue of passport.
Id number e.g. UCI NUMBER ,IME NUMBER.HAP id#,INZ#
- Reason for the exam, visitor, worker, student, sponsorship/family class. Refugees fall under family class.
This helps to speed up the process as they can input this into the website and set up the file prior to arrival.
If you have already applied to CIC and have received a form called Medical report client biodata, it will have a bar code and an IME# on it. Please check the papers/ email you have received from CIC to see if there is a bar code and IME number. I need that number to look up your file in the system.
If you do not have an IME #you may have a UCI#. This is the client number on a visa form or refugee claimant form. Doctors need to search the electronic system to find your file using these numbers.
If there is no number ( UPFRONT EXAM) the doctor can create a file and give you a number.
Chest x ray- required for all age 11 and over.
You need to take the following 3 items:
1. I.D. — best is passport.
2. A paper which doctor will give you prior to leaving their office. This page has a bar code and health case number on it. The xray facility will use this information to look up your case in the system.
3. XRAY REQUISITION which your doctor will give you
4. CREDIT OR DEBIT CARD
Please note that if you are female and are pregnant or could be pregnant, you need to discuss the risks/ benefits of xray with doctor prior to having the chest xray.
Even if you have had a chest xray recently you will still have to have another one as doctor have to follow the designated protocol.
You need to bring
1. Identification preferably Passport
2. FEE, usually CASH ONLY no debit/credit cards .The fee depends on age and detail involved.
Usually it covers the cost of the physical exam, a sight test, a urine test, 2 blood tests, the photo and electronic transmission of the medical file to CIC.
Doctors do not deal with insurance companies however you can submit the payment receipt if you have insurance cover for the exam. It is up to you to check if the exam is covered by your insurance.
Not necessary to bring photos as usually they take your photo and upload it to you file.
If you wear glasses please bring them with you- doctor check your vision AND DOCTOR NEED TO RECORD THE BEST VISION YOU HAVE.
If you are taking any medication on a regular basis doctor will need to know the name of the medication, the dose and the frequency, BEST TO BRING THE MEDICATIONS.
Drink lots of water in the half hour prior to the exam as doctor do a urine test on all who are 5 years of age and older. (So it is especially important for children to drink water.)
You do not need to fast in fact, eat and drink normally.
Any past medical history regarding medical conditions or operations (in your whole life)will need to be noted, and if you have any reports , bring them with you.
Urine test- doctor check for blood, protein and glucose (sugar) .Females please take note and try and schedule the appointment in consideration of your monthly cycle.
Bring an interpreter if your English is poor.
BLOOD TESTS- doctor take one sample of blood and have 2 blood tests done on the one sample. This is mandatory for all clients who are 15 years of age and older- (included in the fee of $160.00)
The 2 tests are 1 FOR SYPHILIS 2.for HIV. You will be asked to sign a consent form.
Both of these conditions are sexually transmitted diseases. Please note that if the test is positive, it does not necessarily mean that you will fail the medical exam. These conditions are notifiable conditions, meaning that if positive, doctor have to notify the Public Health Dept. and refer you to a special clinic for further assessment and treatment if necessary. There, you will be instructed regarding safe sex and methods of limiting spread of the disease.
Please note that in some circumstances additional tests are required. If you have high blood pressure ( A history of high blood pressure and/or found to have high blood pressure during the medical exam ),diabetes kidney or bladder problems, you will have to have an additional blood test done. This test is a creatinine test and has to be done at another lab. This requires an extra fee, $10.00 extra for us, as well as an additional fee charged by the lab when you attend it. The lab fee is $15.00 approx. The reason for this additional test is because the kidneys, if not functioning properly, can cause high blood pressure, and vice versa, if there is high blood pressure it can cause kidney damage. One of the criteria assessed is the EXCESSIVE DEMAND FACTOR. Does the client have a condition that would cause excessive demand on the health care system? Renal Failure requiring dialysis is a huge expense, so doctor screen frequently for renal failure using the Creatinine test. If you have to go to an outside lab you need to bring identification with you so the technician can verify that the person in the photo ID is the SAME person giving the sample. Theoretically you can use any lab, however not all labs are familiar with id confirmation .Doctors prefer you to use the Life Lab in the basement of the same building as the xray, if possible. (It is not open on a Saturday).They are familiar with the immigration id process. If this is not practical for you, you can use any lab as long as you ensure that the id is confirmed.
The immigration officials have become very strict with regards to confirmation of identity, and every step doctors take in processing the file, on the website, asks if the identity is confirmed. Doctors have to answer that question. When you come to see us, and go for the xray and/or lab work you are required to produce an identity document that has a photo and signature, the best is your passport.
THE SAME ID SHOULD BE USED FOR ALL EXAMS/TESTS/APPOINTMENTS.
Doctors are limited by CIC , in what they can accept as an identity document. Doctors prefer valid passport or certified copy of passport. Drivers license is also acceptable Refugee protection form is ok for refugees. No other forms are acceptable..
Should there be a problem with the medical exam the doctors in Ottawa will contact you (using the contact information on the application form).This is called a “furtherance” You will need to call or preferably email me to schedule an appointment for a furtherance.
As of Feb 25, 2013 doctors are using the internet and are electronically transferring the medical file to CIC. The Australian and Canadian immigration officials have pooled their resources and are working together. The files will be stored in huge databases in Australia and when you come for the medical exam you will be asked to read and sign a consent form which will outline and explain the process.
Upon leaving our office you will be given the following:
- a receipt for payment( not refugees).
- the xray requisition , for all over 11 years of age
- any requisition for extra lab work , if required,
- a page with a bar code and FILE / health case number on it.
Please check all the data on the page and ensure all the information is correct prior to leaving the office. Also please ensure that you get your passport back.
Keep this page safe. You may make copies of it. You may use this page as proof of having done the exam.
Take it with you to the xray dept. and they will look up your file in the system using the number, however get the page back before you leave. The radiologist will later upload the xray film and report to your file. The girls who upload the xrays ,usually work on a Tuesday and a Thursday.
You can give a copy of the paper to your lawyer if you are using one. You can send a copy to your immigration office if they request verification of the exam.
Time frame…. Doctors need to wait for the results of the blood tests and the xray report before they can grade the exam, complete it and submit it to CIC. This will take approximately 1 week. Sometimes I can complete the file in 3 days however it generally is 1 week. It may take longer if they have to wait for additional lab tests or specialist consultation reports. I will not be emailing you with the date of submission of the file. Please log onto the CIC website at MYCIC . Create a record at that site and you can follow your immigration process. Note there is a time interval of approx. 4 weeks before you will see confirmation by CIC ,on the website.
I will not be emailing you with results. If doctors uncover a medical issue during the exam they will inform you and recommend follow up. If there is an abnormal urine or blood test they will inform you. If there is an abnormal chest xray you will be informed.
Doctors grade and submit the medical information. The grades are either A( nothing wrong) or B ( something wrong). The file is submitted electronically using the CIC website and reaches the head medical office in Ottawa where the doctors make the final decision of pass or fail. They are advised not to comment on pass/fail in case they state something contrary to the doctors in Ottawa who have other criteria and information to consider and assess. Doctors are not informed of the results by Ottawa head office. You have to find out the pass/fail result yourself. Check the MYCIC SITE.
Further assessment and monitoring of any medical issues needs to be undertaken by your family physician. Doctors usually will not be your family doctor as they do not have the time to commit to this. You will need to find a family doctor or use a walk in clinic.
New refugees entering Canada do not have to pay as long as they have valid refugee forms. The form required is the REFUGEE PROTECTION CLAIMANT FORM. This doctors will use as the id document.
Doctors need the UCI number ( client number) on this form( top right)
Doctors need the issue date and expiry date.
In addition there is a new form called Interim Federal Health Certificate of eligibility.
The Interim Federal Health is the government department responsible for the health of new refugees. This department will pay for the medical exam expenses using Blue Cross they will bill Blue Cross for the expense.
You should be aware that IFH will pay for the first immigration medical exam upon entering Canada. When you are coming for a second exam (e.g. for permanent residency) the IFH PROGRAM WILL NOT PAY. You will have to pay cash.
After the exam in our office refugees need to call the xray facility to book an appointment for the xray. They have to inform the xray people of the refugee status and the client number.
may defer the chest xray until after delivery of the baby ,however be aware that this will slow the process as the FILE CANNOT BE SUBMITTED WITHOUT THE XRAY.
The file will therefore sit in the website, on hold, and the exam will not be finalized until the xray has been uploaded and submitted
If you choose to have the xray while pregnant you can have a lead apron to cover the abdomen and this will give some protection. No one however, can give a guarantee that radiation is without harm, as there are no studies done. Each couple must weigh the risks/benefits for themselves. Please inform the xray people if you are pregnant.
The medical exam that doctors perform is the same exam regardless of reason- visitor, student or permanent residence. It is valid for 12 months. If you apply to CIC, for a change in status e.g. for permanent residence, within the 12 months, you can use the paper they give you, with the bar code and file number, as proof of having the exam.