The Medical

1) Registration our receptionist will examine:

• Your appointment letter
• Picture I.D. for each person in your party
• Picture or birth certificate I.D. for each child in your party
• You will be given a written receipt for our fee.

2) History the Panel Physician may ask you about:

• Past and present health problems
• History of any operations or hospital admissions
• The names of the medication you are taking
• If you are being treated for any medical or psychiatric condition
• If you are working, attending school, receiving any pensions or disabilities
• For any history of diseases of public health significance like tuberculosis, leprosy, syphilis, HIV and other sexually transmitted diseases. Proof of treatment in written form from your doctor for these diseases.
• Any present or past history of serious illness like heart disease, stroke, TIA, diabetes, cancer or kidney disease.
• Any surgery you may have had.
• Receiving treatment or taking medication for any medical or psychiatric problem.
• Disabilities or if you are receiving a disability pension or assistance.
  
  We recommend that you bring a brief readable note or letter from your doctor detailing your medical or psychiatric problem(s), current treatment and long-term prognosis. The Panel Physician needs to know about your past and current medical problems and what the likelihood is that you will require further treatment in the future. It is better to bring more information than you think is required.
  
  Bring information from your doctor, psychologist, school or other source outlining any behavioral or developmental problems affecting your children. Examples include: attention deficit disorder, cerebral palsy, dyslexia, hyperactivity or other learning disorders. The Panel Physician will need to know what specialized medical, educational or other care your child requires.

3) Physical Examination:

• The panel Physician will conduct a physical examination that normally does NOT include internal/pelvic/PAP or a rectal exam. You will be required to remove your clothes and will be given a gown for the examination.
• Women having their period can be examined.
• You do not need to fast on the day of the examination. Eat a normal breakfast and take all your usual medication.

4) Blood Test:

• Applicants 15 years and older will have blood taken to test for the presence of syphilis.
• If you have ever been diagnosed with syphilis, HIV, AIDS or any other sexually transmitted disease, please bring a report from a physician or health department outlining the treatment you received. In the event that your blood test is positive for syphilis your name will be forwarded to the appropriate public health authority as required by law.

5) X-Ray:

• Applicants 15 years and older require a single view chest x-ray.
• U.S. Regulations currently effective in Canada state: “Women who are pregnant are required to have a chest x-ray to immigrate. Pregnant women will need to provide consent for the chest x-ray.” Our radiologist will provide the lead shielding prescribed to protect your abdominal and pelvic regions. We are unable to exempt anyone from these regulations.
• Anyone who has a history of tuberculosis or has ever been told there are irregularities or abnormalities on chest x-ray in the past should bring old films with them to the appointment. Old films can be obtained from the radiologist or hospital where they were taken. If you have been treated for tuberculosis in the past, please bring details of the treatment - names of medications, how long they were taken, where treatment took place, results of follow-up.