Is this what everybody else received in pdf attachment to the medical request email? ???
Medical Examination Instructions
Medical instructions are issued when an application has been processed to the stage where the required
medical examination(s) should be undertaken. Please read the following instructions carefully.
The medical examination must be performed by a physician from the CIC list of panel physicians. This
list is available by accessing the following website: http://www.cic.gc.ca/dmp-md/medical.aspx.
You should identify a panel physician in your area and book an appointment for your medical examination. When you schedule your appointment, please ensure that arrangements are made for your chest x-ray and laboratory tests as well.
Medical examination results are valid for a twelve month period from the date of the examination.
All costs related to the medical examination, if applicable, are your responsibility and are payable at the time of the examination. Should your application be refused following the completion of your medical examination the costs will not be refunded.
Please bring the following to your appointment:
- The attached medical report form
- Proper identification (proof of identity must include at least one document with photograph and signature such as a passport, driver's licence or national identity card)
- Eye glasses or contact lenses, if worn
- Any medical reports or test results that you may have as a result of previous or existing medical conditions
- Four recent photographs, if the panel physician is not eMedical enabled (note: panel physicians that are eMedical enabled are indicated on the CIC website listed above)
Note: It is important that you inform the panel physician of any previous or existing medical conditions. Failure to do so will delay the processing of your medical examination.
IMM 1017 E (12-2012) GCMS
Citizenship and Citoyenneté et Immigration Canada Immigration Canada
MEDICAL REPORT
CLIENT BIODATA AND SUMMARY
PROTECTED WHEN COMPLETED - B
CLIENT INFORMATION
Family name
Given name(s)
Date of Birth YYYY - MM - DD
Country of Birth
Gender
Address
E-mail Address
Telephone no.
IMMIGRATION DETAILS
IMM Type: UCI:
Application no.:
IME no:
IMMIGRATION MEDICAL EXAMINATION GRADING
A. No significant abnormal history or B. Significant abnormal history and/or significant abnormal abnormal findings present. findings present.
Comments:
PANEL PHYSICIAN DECLARATION
Valid identity document (passport/national ID) sighted? Do you have identity concerns? No Yes
If YES, please provide details:
No Yes
I confirm that this immigration medical examination and report is a true and accurate record of my findings.
Panel Physician name
Panel Physician signature
Panel Physician no.
Date of IME submission
YYYY MM DD
IMM 1017 E (12-2012) GCMS
Required for all clients. Must be taken within six months of the medical examination.
Anyone proceeded with the medicals without the barcode on the form?
Am I missing any form from CPP-O?
Please answer as I have booked my electronic medical appointment for tomorrow!
Thank you
tomorrow morning I'm going for my appointment!
