Medical refusals and inadmissibility

In support of transparency efforts, this section contains policy, procedures and guidance used by CIC staff as a courtesy to stakeholders.

An applicant may be refused on health grounds – if their condidtion:

  • is likely to be a danger to public health or public safety, or
  • might reasonably be expected to cause excessive demand on health or social services

Process for medical refusals

  • Instructions for the Medical Officers
  • Instructions for the Visa/Immigration Officer

A38(1)(C) Excessive demand on health and social services

  • Overview of excessive demand
  • Cost threshold for social services and out-patient medication

Procedural fairness guidance

  • Applicants who do not respond to the procedural fairness letter
  • Applicants who challenge the medical opinion and/or excessive demand assessment but have not provided a declaration of ability or intent or a plan to mitigate the excessive demand on social services
  • Applicants who submit a declaration of ability and intent as well as supporting documents to mitigate the excessive demand on Canadian health and social services)
  • Assessing declarations of ability and intent
  • Reviewing the response from the Applicant to the procedural fairness letter