ARCHIVED – Operational Bulletin 471 - October 31, 2012

This section contains policy, procedures and guidance used by IRCC staff. It is posted on the department’s website as a courtesy to stakeholders.

Changes to the Immigration Medical Examination Process

This Operational Bulletin has expired.


This Operational Bulletin (OB) informs visa offices and Regional Medical Offices (RMO) staff of the implementation of new immigration medical examination forms as well as supporting Immigration Medical Examination Instructions (IMEIs) for panel physicians. The use of the new forms and IMEI by panel physicians and RMOs will become mandatory as of November 1 2012, in anticipation of the eMedical implementation and the new release of GCMS 4.0.


Until now, all immigration medical examinations have been completed by panel physicians using a paper-based system. After the forms were completed, they were sent by panel physicians to the various RMOs for medical assessment. With the implementation of eMedical and the electronic submission of immigration medical examinations, all forms have been revised and some new ones have been added to comply with the new eMedical environment as well as the new GCMS release. All panel physicians, eMedical-enabled or not, will be required to use them.

The changes

Coinciding with the implementation of eMedical, will be the release of GCMS 4.0 which will include new medical screens.  As of November 1, 2012 the new medical examination forms will be disseminated to all panel physicians. From that date, panel physicians, eMedical-enabled or not, must forward all information using the new immigration medical examination forms.

To ensure that all new forms are understood and properly used, the handbook used by panel physicians has been thoroughly revised. Now called the Panel Member Handbook, this new handbook will be disseminated to all panel members and will be posted on the CIC website.

IMEIs have been created to instruct panel physicians in the completion of the medical exam when various medical conditions are identified. These instructions will also be posted on the CIC website (at the link above).

The new immigration medical examination forms and the IMEIs will take effect on November 1, 2012. The forms, listed below, will be posted on the CIC website (at the link above) as well as under the “Forms” section of the CIC intranet site:

  • IMM 5419: Medical Report  (Revised)
  • IMM 5743: Client Consent & Declaration form (to undergo an IME) (New)
  • IMM 5544: Resettlement Needs Assessment Form (Revised) (Available only on Intranet)
  • IMM 5725: Activities of Daily Living (ADL) (New)
  • IMM 5726: Mini Mental Examination (MME) (New)
  • IMM 5727: Global Assessment of Functioning (GAF) (New)
  • IMM 5738: Chart of Early Childhood Development (CECD) (New)
  • IMM 5728: Acknowledgment of HIV Post-Testing Counselling (New)
  • IMM 5733: Instructions for Pregnant Client – X-Ray Deferred (New)
  • IMM 5734: Specialist’s Referral Form (New)

With the release of the new GCMS 4.0, it should be noted that all previous versions of the IMM 1017 form as well as the Appendix C will no longer to be used. With this release, there will be two newly-revised IMM 1017 forms:

  • IMM 1017: Medical Report: Client Biodata and Summary (not available on our website as it will be GCMS-generated along with medical instructions)
  • IMM 1017B: Upfront Medical Report: Client Biodata and Summary (not available on our website as panel physicians will have these forms in their office. With the implementation of the new IMM 1017B, Appendix C will no longer be required)

Refugee Claimants

Refugee claimants making their claims at the port of entry will be provided with instructions on how to proceed with their immigration medical examination by Canadian Border Service Agency (CBSA) officers. CBSA officers will not be able to generate the IMM 1017 form in GCMS and clients will be asked to bring these instructions to a Canadian panel physician. Furthermore, because CBSA officers will not have the ability to create a file in GCMS it will be mandatory for the panel physician to input and submit the results of the immigration medical examination on a paper form for these clients.

This does not affect claimants who make their claims at an inland CIC office, where a file will be created in GCMS and medical instruction issued normally.

OB subtitle

New and revised forms used in the immigration medical examination process.

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