IRCC Medical Records concerns or a Procedural Fairness Letter for medical inadmissibility? Order GCMS Notes or ATIP notes to access your detailed application file, including health-related assessments and understand the exact reasons behind delays or concerns in your Canadian visa process.
If your permanent residence or visa application is delayed by medical screening, or if you received a Procedural Fairness Letter regarding medical inadmissibility, you need facts. Order your ATIP and GCMS notes to uncover the exact medical assessments and physician comments on your file, plus a professional Expert File Assessment to guide your response.
Every applicant for permanent residence, and many applicants for temporary visas, must pass an Immigration Medical Examination (IME). While most applicants pass without issue, a flagged medical exam can cause severe delays or lead to a complete refusal of your Canadian immigration application.
When Immigration, Refugees and Citizenship Canada (IRCC) flags your health assessment, the standard online tracker simply says “Medical Exam Pending” or “Review of Medical Results.” If IRCC intends to refuse your application based on health grounds, they will send you a Procedural Fairness Letter (PFL). This letter states you are medically inadmissible but often lacks the specific, detailed clinical calculations used to make that decision.
Health and Social Services
This is the most common reason for a medical refusal. If the IRCC medical officer calculates that your health condition (or your dependent’s condition) will cost the Canadian healthcare system more than the established annual threshold, they will issue a refusal. The GCMS notes will reveal the exact dollar amounts and treatments the officer factored into their calculation.
Danger to Public Health
Certain infectious diseases, such as active tuberculosis or untreated syphilis, are considered a risk to public health. If your initial x-rays or blood tests show abnormalities, your file is flagged, and processing completely stops until further testing proves the condition is treated or inactive.
Danger to Public Safety
If an applicant has a history of severe mental health conditions associated with unpredictable or violent behavior, or serious substance abuse issues, the medical officer may deem them a risk to public safety.
Medical Surveillance or Testing Holds
Often, your application is simply delayed because the medical officer requested a “Further Medical Examination” (such as a sputum test for TB or a specialist consultation for a heart murmur). If the clinic failed to send these results to IRCC properly, your file will sit indefinitely in a delayed status.
You cannot argue against a medical refusal or a Procedural Fairness Letter without seeing the actual clinical notes. ATIP and GCMS notes contain the unedited assessments, costing calculations, and specialist recommendations written by the IRCC medical branch. Ordering them is the absolute first step to saving your application.
Exact Financial Costing
If you are accused of placing an “excessive demand” on Canadian health services, the GCMS notes will show the exact medication prices, specialist visits, and social services the officer expects you to use. You can then provide evidence (such as a Mitigation Plan) proving you will not actually use those specific public services.
Formulate a Strong (PFL) Response
A PFL gives you a strict deadline (usually 60 days) to respond before your application is formally rejected. Getting your medical ATIP notes allows your immigration lawyer and your personal physician to directly counter the specific clinical claims made by the IRCC doctor.
Unblock Administrative Medical Delays
If your file has been stuck on “Medical Results Reviewing” for months, the GCMS notes will tell you exactly what is missing. It will show if IRCC is waiting for a specific test result from your panel physician, allowing you to follow up with the clinic and unblock your file.
Authorized ATIP Representative.
Legally registered under Canada’s ATIP Act. Immigration authorities recognize our firm as a legitimate third-party requester.
Fast Turnaround
Industry-standard 10-15 business days. Complex files may take up to 30 days, but most clients receive results within 2-3 weeks.
100% Confidential
Your GCMS retrieval remains completely private. No government notifications to employers, no negative flags on your file.
Money-Back Guarantee
If we don’t successfully retrieve your work permit refusal file, we offer a full refund—no questions asked.
Expert Specialists
Assessment prepared by professionals with immigration background—not automated systems. Manual decoding of officer comments.
Affordable Pricing
At $29.99, costs less than a single consultation with an immigration lawyer, yet provides government-sourced evidence.