** Things you should know about medical exam **
All applicants seeking permanent residence in Canada, and certain applicants applying for temporary residence, are required to complete an immigration medical examination.
Conducting an Immigration Medical Examination.
In conducting a Canadian immigration medical examination, the DMP performing the examination will undertake the some important following activities.
• Provide a routine appointment for Canadian IMEs
• Verify that the person presenting for examination is the person pictured in Medical Report and ensure that the applicant, or parent/guardian, completes and signs Medical Report
• Carefully review and provide details on the applicant's responses to the questions regarding functional inquiry in Medical Report: Section B (IMM 5419).
• Perform a comprehensive physical and mental examination.
• Provide appropriate age-defined laboratory investigations /Laboratory Requisition
a. urinalysis (protein, glucose and blood by dipstick—if blood positive, then microscopic report required) for applicants five years and over;
b. serological test for syphilis for applicants 15 years and over.
• HIV testing for applicants 15 years of age and over, as well as for those children who have received blood or blood products, have a known HIV-positive mother, or have an identified risk. An ELISA HIV screening test should be done forHIV 1 ,2
• Serum creatinine if the applicant has hypertension (resting blood pressure greater than 140/90 mm Hg), a history of treated hypertension, diabetes, autoimmune disorder, persistent proteinuria, or kidney disorder.
Provide an adequately labeled postero-anterior chest x-ray film for applicants 11 years and older, and for those under 11 years of age if there is any relevant history or clinical.
• Have the radiologist complete the Chest X-ray Interpretation, the Record of Special Findings Noted.Unless otherwise advised, ensure that the radiologist provides the labeled image of the chest x-ray either on CD (in an envelope, not a jewel case) or film.
• Ensure that the radiologist provides sufficient detail in the examination report to substantiate a definitive diagnosis or a requirement for additional investigation.
• Complete a summary of abnormalities and provide an opinion as to prognosis in the summary blocks of Medical Report: Section A (IMM 1017) and Section C (IMM 5419) for each applicant based on the history, mental/physical examination and diagnostic tests.
• Collate the completed Medical Report forms (in order) with laboratory reports and chest x-ray(s), and then arrange for the direct and timely transmission of these documents, by mail or courier, to the RMO
Additional/Supplementary Tests
• Provide or arrange for the provision of such supplementary reports or diagnostic tests as may be requested or required by standing instructions issued by a CIC medical officer. These supplementary reports and/or diagnostic tests should be sent directly from the laboratory or consultant to the DMP for collation and transmission to the RMO.
• Personally conduct all clinical activities with respect to the medical examination of the applicant. When further medical reports are requested by a medical officer, these reports must be provided by a specialist of the DMP's choosing. Reports provided by a physician of the applicant's choosing are not acceptable, although the applicant's previous medical records can be provided in addition to the currently requested report.
o Specialists or consultants preparing additional reports requested as part of the IME should be advised that their reports should be objective, detailed and limited to the question posed. They should not include comments about their impressions regarding suitability for immigration or fitness for travel.
o These reports should be complete and contain a thorough clinical review, discussion and interpretation of clinical findings. Prognostic determination should be based on the anticipated clinical course and likely need for intervention or treatment (medical and/or surgical) over the following several (five) years.
o It is the DMP's responsibility to select specialists and consultants who are able and willing to provide complete reports.
Medical Exam Tips
Some simple Medical Exam Tips to help you get the best results
(Note. Consult your doctor before following the tips)
Be in reasonably good physical condition. If you have high blood pressure, diabetes or high cholesterol or if you are required to undergo for a surgery let these things fixed and under control prior to exam.
Be prepared to answer all questions honestly to the best of your knowledge. Honesty is both asked for and appreciated
Don't drink any alcohol at least 72 hours before the exam.
Practice a healthy diet the week prior to your medical exam. Minimize the use of salt and avoid excess fatty, greasy, heavy or generally unhealthy foods before the exam
Limit intake of caffeine ,black tea.
Avoid to use pain killers unnecessary.(ask your doctor)
Avoid strenuous activities including jogging, weight lifting or swimming.
Do not smoke or chew tobacco.
Get a good night's sleep.
Consider scheduling your exam in the morning, preferably upon waking, your body is most relaxed in the morning.
Be at DMP office about 30 minutes early
Make sure that you are clean and well-groomed for the physical exam. It can make it more difficult for a doctor to accurately check you out if you are much less than clean. For example, the condition of your fingernails can tell a doctor something about your bone health, but it can be hard to tell if your nails are mistreated and dirty
Spend a few days before your exam as stress-free as possible. Try to take it easy and to relax.. Take the time while waiting at the doctor's office to calm yourself and distress. Take a few deep breaths, chew gum, read, anything to help you relax. You're likely to have a blood pressure and heart rate that is closer to normal.
