Seminar ID


Date and time

Thursday, November 9, 2017 at 09:00 EDT see it in calendar

  • recording
  • in English
CPD hours

LSBC 6 CPD hours


LSO 0.5 Professionalism

CICC 6 CPD hours


Hart House, University of Toronto7 Hart House Circle
M5S 3H3

Parking: $ 15 per day. Credit card or coins. Pay at the pay machine. Short walk from TTC.


Recognizing, dealing with and overcoming medical inadmissibility

1.   General Overview:
      •  Discussion of inadmissibility as defined s. 38 of the IRPA
      •  Meaning of “excessive demand” and what services are considered by IRCC
      •  How IRCC measures “excessive demand”
         o Financial parameters
         o Time frame
     •  How to prepare an application when medical inadmissibility is present at the outset vs. medical inadmissibility that arises during the processing
     •  Discuss of guiding principles from case law

2.   Responding to a Procedural fairness letter
      • Content of procedural fairness and when to request more information
      •  Who is the decision-maker?
         o  Chain of decision making and involvement of IRCC medical branch
      •  Challenging the medical diagnosis
         o Discussion of what documents to collect
         o What to do when medical professionals won’t provide supporting letters?
      •  Challenging the “excessive demand” determination:
         o Difference between health and social services in responding to PF letter
         o Importance of considering province of settlement
         o Development of plan to overcome “excessive demand”
         o Collection of documents to support genuineness and functionality of plan
         o Medications – brand name vs. generics
      •  Request for humanitarian & compassionate considerations
         o Identification of relevant factors
         o Collection of relevant documentation
      •  Ethical issues for discussion:
         o Is there a duty to disclose negative or unfavourable medical reports?
         o requesting amendments to reports or documents
         o what to do if you suspect that the documentation collected is not genuine?
         o change to drug regimens to reduce potential excessive demand
     •  Discussion of relevant case law

3. Medical inadmissibility at the Immigration Appeal Division

     •  Challenging legal validity of medical inadmissibility determination
     •  Use of new evidence in challenge
     •  Use of expert evidence and witnesses
     •  Application of change of circumstances or resolution of underlying medical condition
     •  Discussion of relevant case law : IAD vs. first instance decision making
     •  Ethical issues to discuss:
        o When is it appropriate to concede the medical inadmissibility determination?
        o Obligation to advise appellant and applicant as to merits of case
        o Conflict of interest – what to do when it becomes apparent that one of the parties to the appeal do not want to continue appeal – but other one does?4.   

4.  Case studies at the PF letter stage and IAD appeal

     •  Global developmental delay in a minor
     •  Physical disabilities
     •  Blindness
     •  Breast cancer
     •  Kidney failure
     •  HIV / AIDS



6 hours

regular fee - $ 180.00

No CPD - 50% discount





Please note that speakers and topics were confirmed at the time of publishing; however, circumstances beyond the control of the organizers may necessitate substitutions, alterations or cancellations of the speakers and/or topics. IMEDA reserves the right to alter or to modify the advertised speakers and /or topics, if necessary. Any schedule substitutions or alterations will be updated on the IMEDA website as soon as possible and all registrants will be notified by e-mail.