Further medical for a dependent. What happens?

[fkl]

I have applied for a temp work permit with spousal open work permit and trv / open study permit for kids.

We have been through with medicals over a month ago and recently received a letter from CHC addressed to one of my kids asking for further medical evaluation.

He has speech delays so i suspect they would ask a psychiatrist to evaluate him further. We already had a hearing test done for him before and showed that to the medical officer. At any rate he has nothing that could be a "risk to others". He might (we are not sure) have something that require behavioral medical support such as speech and other therapies or he could be just fine and developing a little late. I have following questions.


1. In case for some reason they are not satisfied with his state, what would happen? Can they outright refuse visa to whole family? Can they approve only me?

2. Even if he has a condition that might cost some additional cost medically (not some thing as huge as say cancer etc. God forbidden), my employer policy (NOC B skilled job) already supports some additional medical coverage like better hospital care, some out patient cost of medicine reimbursement etc. Even if that is not sufficient i can obviously afford medication to some level myself from my earnings. Are these elements considered by Visa office?

Thanks

 

[fkl]

I would really appreciate if some one could provide any in sight into this. I am sure this must have happened to others as well. Experienced members? scylla? leon? PMM? Thanks

 

[fkl]

I am surprised. No one has faced a re-remedical situation?

 

[BigBee]

1. In case for some reason they are not satisfied with his state, what would happen? Can they outright refuse visa to whole family? Can they approve only me?

2. Even if he has a condition that might cost some additional cost medically (not some thing as huge as say cancer etc. God forbidden), my employer policy (NOC B skilled job) already supports some additional medical coverage like better hospital care, some out patient cost of medicine reimbursement etc. Even if that is not sufficient i can obviously afford medication to some level myself from my earnings. Are these elements considered by Visa office?

Thanks

FKL.... you have been of tremendous help to others.... Though I never faced a re-medical examination, since my son's TRV was refused, I could probably guess that....

1. They will not refuse the whole family, but, just your son.

2. I dont think the VISA office will consider what happens AFTER you land in Canada, so, I believe, what you do after landing in canada is immaterial at this point of time...

Good luck.

 

[fkl]

Thanks a lot Bigbee. Really appreciate the answer. What would they cite as a reason in such a case? That it will be significant burden on Canada's healthcare system? What did they cite in your case?

Also we applied together as family. So does this mean all of our results would be held back until his further evaluation is done. Or we might receive updates on the rest of the people in normal stream?

Lastly, isn't it odd approving elders and disapproving young children? That obviously would mean that we could at max consider me going alone.

I actually don't understand this thing fully since it is different from the US where health care is either part of your job's insurance or you pay for it yourself. No concept of state owned health care and hence immigration medicals are only ensuring, no significant health risk to other people, period.

FKL.... you have been of tremendous help to others.... Though I never faced a re-medical examination, since my son's TRV was refused, I could probably guess that....

1. They will not refuse the whole family, but, just your son.

2. I dont think the VISA office will consider what happens AFTER you land in Canada, so, I believe, what you do after landing in canada is immaterial at this point of time...

Good luck.

 

[BigBee]

Thanks a lot Bigbee. Really appreciate the answer. What would they cite as a reason in such a case? That it will be significant burden on Canada's healthcare system? What did they cite in your case?

Also we applied together as family. So does this mean all of our results would be held back until his further evaluation is done. Or we might receive updates on the rest of the people in normal stream?

Lastly, isn't it odd approving elders and disapproving young children? That obviously would mean that we could at max consider me going alone.

I actually don't understand this thing fully since it is different from the US where health care is either part of your job's insurance or you pay for it yourself. No concept of state owned health care and hence immigration medicals are only ensuring, no significant health risk to other people, period.

AFAIK, the application is NOT a "Single application", what we are doing is applying together as a family, however, they process the application individually, they simply sent a letter for my son's application that its refused, however, they approved me and my wife (requested medicals, awaiting results / next course of action).

What they will do is simply refuse VISA for your son citing medical reasons, but will approve you and your wife.

We are as much puzzled as you are since my son's TRV is refused, I am now hoping on a quicker PR processing to take my son with me....

Good luck

 

[fkl]

AFAIK, the application is NOT a "Single application", what we are doing is applying together as a family, however, they process the application individually, they simply sent a letter for my son's application that its refused, however, they approved me and my wife (requested medicals, awaiting results / next course of action).

What they will do is simply refuse VISA for your son citing medical reasons, but will approve you and your wife.

We are as much puzzled as you are since my son's TRV is refused, I am now hoping on a quicker PR processing to take my son with me....

Good luck

That's very interesting and helpful. Thank you

How would a PR application differ in this case? I mean medical reasons would still exist though right?

What did they exactly say while refusing it for the child in your case? I mean normally the wordings were "not satisfied you would return, ties, job qualifications". I am just curious what could they say when citing medicals. For one we are not sure if their is a problem at all as such. But this certainly improves my knowledge of the situation.

Also i was off the view that the whole application (of five people - 2 parents, 3 kids) is held back because of this. Otherwise, it's been a month since we were done with medicals. So according to what you mentioned, we probably should be hearing from them regarding the rest of the people any time. The younger son's case would come once his extra medicals are done. What do you think?

 

[Leon]

I haven't heard of cases where children are denied a TRV to accompany their parents based on a disability but I suppose it makes sense if immigration considers them to be excessive demand. If your son were allowed to Canada as a dependent of a TFW, he would have the same access to health care as a PR or a citizen.

If your son is considered to be excessive demand, it's an uphill battle for you trying to apply for PR. It is possible that temporary visas are issued to some family members and not to others but when it comes to PR, if one member of the family is inadmissible, the rest of the family is too. If that is the case for you, you would have to prove with re-medicals and specialist opinions that your son isn't excessive demand. I have also heard of a case where a family was granted immigration after appeals after they had set up a fund to take care of the expenses of their special needs child.

 

[BigBee]

That's very interesting and helpful. Thank you

How would a PR application differ in this case? I mean medical reasons would still exist though right?

What did they exactly say while refusing it for the child in your case? I mean normally the wordings were "not satisfied you would return, ties, job qualifications". I am just curious what could they say when citing medicals. For one we are not sure if their is a problem at all as such. But this certainly improves my knowledge of the situation.

Also i was off the view that the whole application (of five people - 2 parents, 3 kids) is held back because of this. Otherwise, it's been a month since we were done with medicals. So according to what you mentioned, we probably should be hearing from them regarding the rest of the people any time. The younger son's case would come once his extra medicals are done. What do you think?

In my case, it is not due to medicals, its because i applied for visitor visa while they said I should have applied for student permit, hence the refusal.

I believe we should be able to hear it from them this week.

Good luck.

 

[fkl]

I haven't heard of cases where children are denied a TRV to accompany their parents based on a disability but I suppose it makes sense if immigration considers them to be excessive demand. If your son were allowed to Canada as a dependent of a TFW, he would have the same access to health care as a PR or a citizen.

If your son is considered to be excessive demand, it's an uphill battle for you trying to apply for PR. It is possible that temporary visas are issued to some family members and not to others but when it comes to PR, if one member of the family is inadmissible, the rest of the family is too. If that is the case for you, you would have to prove with re-medicals and specialist opinions that your son isn't excessive demand. I have also heard of a case where a family was granted immigration after appeals after they had set up a fund to take care of the expenses of their special needs child.

Thanks Leon that is valuable information. At the moment we have no idea if it is any thing at all actually or not. Currently, it is just apparent delay in speech for which we have started therapy and that's all. Physically and otherwise the child is pretty well. He is going to a normal pre school and even have other children in his class with similar delays. So let's see.

I am also not clear if they would wait until his remedicals are done (currently i waiting for medical practitioner for scheduling an appointment) and then get us the decisions on us all OR we should expect to hear about the rest of us any time now and my son's decision would come latter.

The odd part was that in Pakistan, medical records are uploaded and reviewed through CHC delhi in India and perhaps then available for CIC in Pakistan to finalize. At the moment there has been no communication with CIC Pakistan and this single letter came through ordinary mail from CIC Delhi, addressed to my son telling us he has 3 months to get through with further evaluation.

Just wondering.

 

[fkl]

In my case, it is not due to medicals, its because i applied for visitor visa while they said I should have applied for student permit, hence the refusal.

I believe we should be able to hear it from them this week.

Good luck.

Oh ok. It initially appeared from your comment that may be medical requirements differ between twp vs pr where as logically they shouldn't be. All the best to you too and thank you for best wishes. Let's see how this goes Insha Allah.

 

[starlettedouze]

Hi fkl, I am in the same boat as you are and is curious as well. I have applied for a student visa with my spouse (OWP) and child (SP) as dependents. My spouse was required to undergo further tests due to a finding in his chest xray.

I was informed though that our visas will be processed together, meaning it will be issued for all of us once my husband is given his medical clearance. Will have to wait and see though if this would be the case. I am positive everyone will be approved for visas, just want to confirm the timeline.

As for you case, as long as the DMP will give clearance to your child, then I do not see why a visa won't be issued. All the best to us!

 

[fkl]

Hi starlettedouze,

Glad to hear from you and all the best to us both.

Probably your stated opinion of "processing all people together" applies to me as well. Since otherwise i should have heard from the embassy by now, where as they are totally silent i.e. they haven't even told me any thing with regard to this further medical.

We have appointment scheduled for tomorrow. Let's see how that goes Insha Allah.

Best of luck to you as well.

 

[fkl]

Just making sure any one going through this thread is informed and possibly give advice if any (Leon and others - would really appreciate) , here is my current status.

I booked a further medical appointment with (IOM - medical practitioner in Pak), which took like 10 days from the date i received further medical letter. Then one the date of evaluation with my son there after wasting two hours, i discovered that i am being given a sealed letter addressed to any child physician / psychologist from AKU only (considered best hospital in the country) who had to provide his feedback on hospital's letter head. Taking my son along was not needed at all.

So seeing a pediatrician, getting him to evaluate my son and give his feedback printed took another 12-14 days (3 visits). Finally i submitted his sealed feedback at MP who uploaded it in my file on Nov. 8th.

I am not very sure about his feedback since i haven't seen the actual letter. But his verbal diagnosis was ADHD which from what i understand so far is a pretty low severity thing compared to something like say autism.

Remember that originally my son only seems to have delayed speech and is undergoing speech therapy. We have visited 3 different consultants so far, one of which thinks it could be minor autism, but was not sure. Another (the one who wrote recommendation for CIC), thinks ADHD while a 3rd one of equal credibility thinks he has neither of them.

At the time of medicals, we only had this delayed speech thing, already had a test called Berra conforming okay hearing and showed its report to IOM. So now i really don't know what happens or if any thing is needed at my end.

I have been through application process for almost 9 months which is far longer than the norm for some one of my profile in Pakistan (for multiple unfortunate reasons). I emailed CIC around Nov. 12th telling them my son's feedback was uploaded on 8th and requested them to please conclude my case fast. I only heard a couple days latter the standard old feedback. "Application is in process and under review and your patience is greatly appreciated".

So far we haven't had update on other files either i.e. mine, spouse's or other kids. So just wondering when will this actually end.

 

[MMX]

Dear fkl brother, I do not have any particular experience of a further medical as the one in your case. However, just to let you know of another case which happened with me regarding further medical tests.

I applied for Study visa on May 30th for Sep 2013 session. I got a medical call in June and got my medical done on June 26th. After getting my X-Ray and blood/urine tests/eye sight and general physical check up, as I was about to leave IOM, I was told to stay back as they had to tell me something. I waited for sometime without any clue of anything being out of place as I am a healthy person and did not suspect at all that I could have a medical problem.

After waiting, I was told by the representative that they have seen something in my X-Ray and they suspect that it might be T.B. They told me that I had to appear for sputum tests on three consecutive days and give my sputum in fasting for the sputum culture test for T.B. Till here, there did not seem to be any problem, but later comes the problematic part. I was told that I would again have to undergo X-Ray examination after 90 days. Now considering my medical on June 26th, another 90 days meant that I was surely going to miss my Sep session.

There was no other way out, so I appeared for sputum tests the next week, all this while thinking that I might actually have some problem. The results of the sputum culture test were confirmed after 42 days and by the Grace of God, they were negative. So I appeared again for my X-Ray on 30th Sep. In all this process, I missed my Sep session.

I was going for a research based Masters so my supervisor was giving me funding as well. He was ready to defer my admission to January intake but was not sure if he could give me the funding in that session. Without funding it was quite difficult for me to manage all the fees for the two year program. So all the while since June 26th, I was quite unsure of how things would actually unfold.

Time passed in all this and I finally got my visa on 30th Oct and I told about it to my supervisor, and he later confirmed me that the funding is now available for January session.

This is a completely different scenario from yours but I think the moral can be the same, that sometimes we get hurdles in our tasks, but eventually we get what has been written for us. So I hope and pray that things would unfold in the best manner for you. So dont worry, all will be good, in the end.

All the best to you for your visa process.