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What do I need to do?

Citizenship and Immigration Canada (CIC) has provided you with instructions to report to your local public health unit with one of the following immigration documents:

• Medical Surveillance Undertaking form (IMM 535) or
• In-Canada Public Health Follow-up letter

If you live in Durham Region (Ajax, Pickering, Whitby, Oshawa, Clarington, Scugog, Brock and Uxbridge) and you are placed on medical surveillance, you must call the Durham Region Health Department at 905-666-6241 or 1-800-841-2729 to speak with a Public Health Nurse.

Medical Surveillance Reporting Process:

1. Speak to a Public Health Nurse
The nurse will ask you for the following:

• Name
• Address
• Phone Number(s)
• Immigration information
• Health history or TB history in the past

If you do not speak English, you may wish to ask someone to help you.

2. Fax the Immigration Document
Fax a copy of the Medical Surveillance Undertaking form (IMM 535) or In-Canada Public Health Follow-up letter to Durham Region Health Department Confidential Fax at 905-666-6215. Or you may bring it to:

The Regional Municipality of Durham
Health Department
605 Rossland Road East, 2nd Floor
Whitby, Ontario, L1N 0B2

3. Receive Letter Package from Durham Region Health Department
Durham Region Health Department will mail you a package including the following:

• Letter to you
• Letter to your doctor
• Assessment form to your doctor (Assessment for Tuberculosis)

4. See a Doctor

Bring a letter and the assessment form to a doctor of your choice in Ontario. The doctor will complete a medical exam, order a chest X-ray and if necessary other tests for you.

After all the tests are done, make sure your doctor faxes all the forms and test results to the Durham Region Health Departments Confidential Fax at 905-666-6215. All forms and test results must be received by the Health Department by the due date noted in your letter.

5. Review by Public Health Nurse
Once all the documents are received by Durham Region Health Department, a nurse will review your record and notify Citizenship and Immigration Canada that you have completed and met the requirements of TB medical surveillance.

6. Completion of TB Immigration Medical Surveillance
You will receive a letter from Durham Region Health Department to confirm that you have complied with the requirements of Citizenship and Immigration Canada. You should keep this letter with your immigration documents.

How long does the process take?

The Health Department will provide you with a due date to complete your medical exam. The average time for TB Immigration Medical Surveillance in Durham Region is about six months.

How much does the process cost?

[....]

Once you have applied for the OHIP, it takes about three months before you receive the OHIP card.

If you are not eligible for OHIP and do not have any insurance coverage, the costs for medical surveillance are your responsibility and are variable.

If you change your address or phone number, or if you are planning to travel outside Durham Region/or Canada, please also notify us by calling Durham Region Health Department at 905-666-6241 or 1-800-841-2729.

How do I completed medical surveillance?

• Start the medical surveillance procedure after you arrive in Canada. You cannot start medical surveillance until you are in Canada.
• Make an appointment with your doctor for the medical exam. The medical exam must be done by a doctor in Canada.
• Bring the letter and the Physician Report - Medical Surveillance for TB to your appointment for the doctor to complete. You will have a chest x-ray and other tests if necessary.
• Fax or mail the Physician Report - Medical Surveillance for TB to Peel Public Health
• Keep a copy of the Physician Report - Medical Surveillance for TB as proof that you have completed Medical Surveillance.

How long does medical surveillance take?

The average time for medical surveillance is 6 months to one year. Your doctor will examine you to make sure you do not have active TB disease. The signs and symptoms of active TB are: having a fever, cough, night sweats, coughing up blood and/or feeling very tired. If you have these symptoms, see your doctor right away.

Is there a cost for medical surveillance?

If you are eligible for the Ontario Health Insurance Plan (OHIP), or Interim Federal Health Coverage, the cost of medical surveillance is covered.

Can I travel if I have not completed my medical surveillance?

Yes, you can travel but if you have not completed medical surveillance before leaving the country you may be questioned at the border or airport when you return to Canada.

2. One (1) primary identity document
A copy of one of the following:

• your valid passport or travel document or
• the passport or travel document you held at the time you became a permanent resident (including your passport’s page that was stamped when you arrived in Canada and became a permanent resident) or
• the certificate of identity or travel document issued by the Minister of Citizenship and Immigration Canada or a foreign country.

Note: The copy should show the document type and number, issue and expiry date, your name, photo and date of birth.


Under exceptional circumstances, if it is impossible for you to obtain any of the above you must provide a:

• copy of any identity document issued outside Canada before you came to Canada
  or
• statutory declaration signed by you attesting to your identity and a statutory declaration also attesting to your identity signed by:
• a person who knew you before you came to Canada (such as a family member) or
• an official of an organization representing people from your country of nationality or former residence.

Format: Clear and legible photocopy

Minor children who are already in Canada accompanying a parent who is permitted to study or work may study in Canada without a study permit at the pre-school, primary and secondary levels.

January 27, 2016 - Effective immediately, the temporary pause on application intake has ended and the Alberta Immigrant Nominee Program (AINP) is now accepting new applications under all AINP streams and categories.

Applications postmarked before January 27, 2016 will be returned.

The reasons for implementing pay direct are documented and noted on the participant's file.

Changes in circumstances have been verified and noted on the participant's file prior to the payment of arrears.

Criteria for Implementing Pay Direct

Administrators should consider the following factors in determining whether or not a pay direct arrangement is appropriate:

• the participant has demonstrated a pattern of misuse of assistance resulting in a lack of funds for food or shelter during a month or months;
• the misuse of assistance has been harmful or is likely to be harmful to the participant and members of the benefit unit;
• the participant frequently makes late payments for rent or utilities to the landlord or utility company;
• rental or utility payments are currently in arrears; or
• the participant is at risk of being evicted or having his/her utilities disconnected.

Direct payments may be made to:

• a public or private landlord (i.e., for initial rental deposits, rental arrears or ongoing rent);
• a utility company (i.e., for deposits, arrears or ongoing service); or
• a trust account (i.e., where there is an order to direct rent to a trust account pending the resolution of a landlord and tenant dispute).

Once a pay direct arrangement has been implemented, it may remain in effect until it is evident that the participant is able to manage the assistance issued for the benefit unit.

b) If you move to Ontario from another province or territory where you had provincial/territorial health insurance coverage:If you move to Ontario directly from another province and apply for coverage, your OHIP coverage will begin on the first day of the third month after establishing residence in Ontario, provided you were insured in your previous province or territory.

Your valid health card from your former province will continue to provide you with health insurance coverage in accordance with that province/territory's plan during the waiting period.