Consulate General of the United States of America
Place Felix Martin
1155 St. Alexandre Street
Montreal, Quebec
Physical Examinations for Immigrant Visa Applicants
Please Read Carefully
Each Immigrant Visa Applicant, including children, regardless of age, must
have a medical examination. Medical examinations may only be done by one
of the specially appointed panel physicians listed on the
reverse of this form. You cannot have the examination done by your family
physician or any other doctor not listed on this sheet. Please telephone
one of the desiginated physician's offices to arrange your medical exam.
Please give the doctor the date of your visa appointment or explain that
you are a fiance(e) visa applicant. The panel physician will advise you
regarding the cost of the exam and tests. NOTE: You must bring your
passport or other photo-identification and your appointment letter to the
doctor's office, radiologist and lab where your blood test is taken. On
the date of your VISA APPOINTMENT at the consular section, bring your
x-ray and unopened medical report to this office, Place Felix Martin,
1155 St. Alexandre Street, Montreal.
The examination will include a medical history, physical examination,
chest X-ray and blood tests for syphilis and HIV (Human Immunodeficiency
Virus). The physical examination will include at a minimum examination of
the eyes, ears, nose and throat, extremities, heart, lungs, abdomen, lymph
nodes, skin and external genitalia. You may have the examination even
though you are having your menstrual period. Children 15 years of age do
not routinely require a chest X-ray or blood tests.
United States Public Health Service regulations require pregnant women to
have a chest X-ray. It is possible to perform the X-ray during pregnancy
with proper shielding of the abdomen. However, if you are pregnant and do
not wish to have the X-ray, a temporary exemption may be granted. To be
granted the exemption, you must bring with you to your appointment,
written certification of your pregnancy signed by your personal physician
or obstetrician.
If you had syphilis you must present the panel doctor with a written
certificate, signed by a doctor or public health official, proving that
you were adequately treated. If you have ever had a positive VDRL or
other blood test for syphilis and were not treated, please bring a written
explanation signed by your doctor
If you have ever had a positive skin test for tuberculosis, please bring a
certificate from your doctor, outlining the circumstances surrounding the
positive tests result and, indicating what, if any, treatment you were
prescribed and for how may (sic) months you took the treatment. If
you have ever been diagnosed as suffering from tuberculosis, you must
present a written certification, signed by your doctor, to prove that you
were adequately treated. The certificate must include dates and types of
medications taken. If you have ever had an abnormal chest X-ray, please
arrange to borrow the last Xray films taken of you and bring
them to the Visa Medical Appointment. The actual films, not the typed
reports, may be required to compare with the X-rays that will be taken at
the Visa Medical Appointment.
Applicants treated or hospitalized for psychiatric or mental illness,
alcohol or drug abuse, must present written certification which must
include the diagnosis, duration of treatment rendered, and prognosis.
Applicants with mental retardation or learning disabilities, must present
a report outlining their problems and any special requirements as far as
education or supervision that may be required.
If you have had any history of harmful or violent behavior resulting in
injury to people or animals, or harm to inanimate objects, you must
provide information which will allow the doctors to determine if your
behavior was related to any psychiatric or medical problem, or to drug or
alcohol use. Harmful behavior includes attempted suicide or harm to
yourself no matter how minor in nature.
Applicants being treated for chronic medical problems, or those taking
medications on a regular basis, should be familiar with the medical
conditions that they are suffering from, and the names of the medications
they are taking. If you are not sure of the diagnoses,
please have your doctor prepare a certificate outlining your problems, the
current treatment, and prognosis. Please bring a list of any medications
that you may be taking.
AIDS NOTE: As part of your examinations, a blood test for the antibody to
Human Immunodeficiency Virus (HIV) is required. The results of a positive
test must be reported to the consular officer and to the appropriate
Canadian public health authorities.
BOOKING YOUR MEDICAL EXAMINATION
Only the following
physicians have been designated to perform a U.S. Immigration
Medical
BRITISH COLUMBIA
Dr. Ian Morgan
Woking Medical Services
Suite 420, 1144 Burrard St.
Vancouver, B.C. V6Z 2A5
604-681-8873 (fax: 662-7729)
results available same day
ALBERTA
Dr. Kenneth Popowich
4020 17th Avenue, S.W.
Calgary, Alberta T3E 0C5
403-242-0484
Dr. H.S. Chana
Room 460 Professional Bldg
10830 Jasper Avenue
Edmonton, Alberta T5J 2B3
403-424-3527 (fax: 424-3549)
SASKATCHEWAN
Dr. Peter H.W. Chau
928 8th Street
Saskatoon, Saskatchewan S7H 0R8
306-244-1561
Dr. Nestor Ficzycz
2125 11th Avenue, Room 301
Regina, Saskatchewan S4P 3X3
306-352-4664
MANITOBA
Dr. Ray Singer
95 Sherbrook Street
Winnipeg, Manitoba R3C 2B2
204-775-4471
Dr. Jerry Drexler
95 Sherbrook Street
Winnipeg, Manitoba R3C 2B2
204-775-8895/6
ONTARIO
Dr. Howard Seiden and Associates
Front-Frederick Health Services
145 Front Street East
Toronto, Ontario M5A 1E3
416-362-5603
results available same day
Dr. Maureen Stewart
MDS Executive Health Services
1919 Riverside Drive
Ottawa, Ontario K1H 1A2
613-523-8998
results available in 3 business days
QUEBEC
Dr. Jean Tremblay
Polyclinique de la Capitale
4225 4e Avenue Ouest, Suite 4
Charlesbourg, Quebec G1H 6P3
418-623-3890
results available 3 business days
MDS Executive Health Services
1538 Sherbrooke, Suite 900
Montreal, Quebec H3G 1L5
514-931-0352 (fax: 931-0459)
results available in 3 business days
NEWFOUNDLAND
Dr. J.C. Westby
West Coast Med Clinic
3 Church Street
Cornerbrook, NFLD A2H 2Z4
709-634-5642
results available 7-10 days
Dr. J.D. Vaughn-Jackson
2 Mount Cashel Road
St. John's, NFLD A1A 1X7
709-753-1450
results available 7-10 days
NOVA SCOTIA
Dr. Paul Doane
6169 Quinpool Road
Halifax, NS B3L 4P8
902-423-8950
results available in 5-7 days
Dr. Ronald Olsen
University Health Service
6230 Coburg Road
Halifax, NS B3H 4J5
902-494-2171 (fax: 494-6872)
results available in 3 weeks
PRINCE EDWARD ISLAND
Dr. A.L. Roberts
Polyclinic
199 Grafton Street
Charlettetown, PEI C1A 1S1
902-892-2777
results available in 2 weeks
*While many of the panel physicians listed above are able to provide
exam and lab results within a few days, we suggest that you complete all
medical requirements at least 3 weeks before your visa appointment if at
all possible.*