It is worth mentioning that foreign nationals who have applied for permanent resident status and are members of the live-in caregiver class are exempt from the requirement of having to submit to a medical examination. This is in accordance with the provisions specified in R30 (1) (g). This provision applies unless the authorities have reason to believe that the live-in caregiver has a medical condition that could endanger public health or safety. This is in accordance with the provisions specified in R30 (1) (a) (iv).
In contrast, family members in Canada or abroad, would always need to complete and pass a medical examination as part of a live-in caregiver’s application for permanent residence.
How to Determine if a Medical Examination is Necessary
Situation 1
At the time of the submission of the application for permanent residence, the officer does not have reason to believe that the principal applicant has a medical condition that could endanger public health or safety
For instance, the officers have previously assessed:
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M1 case
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M2 / S2.04 case (i.e. adequately treated syphilis)
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M3 case (i.e. when the initial diagnosis does not mention any risk to public safety)
In this case, the officers would need to:
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Avoid requesting the principal applicant to complete a subsequent medical examination as part of their application for permanent residence and,
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Accept the previous medical result and record the medical assessment for the permanent residence application as ‘Passed’
Situation 2
An immigration officer has new medical information that suggests that the applicant might be a danger to public health or safety OR at the time of the submission of the application for permanent residence, the officer has reason to believe that the principal applicant has a medical condition that could endanger public health or safety
For instance, the officers have previously assessed:
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M2 / S2.02 case (i.e. inactive pulmonary tuberculosis) – only in cases where the imposed condition to report for medical surveillance remains and there has been no proof of compliance
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M3 case (i.e. when the initial diagnosis does not mention any risk to public safety)
In this case, the officers would need to:
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Send a request to the Health Branch based on the concerns identified
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The e-mail subject would need to read “Live-in Caregiver Program (LCP) Concurrence to Request a Medical Examination”
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Request that the principal applicant complete a new medical examination, once the officers receive a concurrence from the Health Branch
- (In case the Health Branch does not concur) – Accept the previous medical result and record the medical assessment for the permanent residence application as ‘Passed’