Published
Pardeep S. Grewal is a lawyer at Lawgical Law Corporation, called to the BC bar in 2024, and a member of the Law Society of British Columbia.
Updated November 12, 2026: IRCC’s super visa requirements and medical inadmissibility pages checked that day.
The issue: the medical exam can lead to more tests, a furtherance letter, or a procedural fairness letter about medical inadmissibility.
The response: full medical evidence and, if IRCC invites one, a mitigation plan, within the deadline in the letter.
Why a lawyer: the response to a procedural fairness letter is your parent’s one chance to change the result. Why a lawyer
The lawyers who review these refusals
Sundeep S. GrewalBarrister and Solicitor
Prabhpreet Kaur SanghaBarrister and Solicitor
Pardeep S. GrewalBarrister and SolicitorAbout our lawyers
Sundeep S. Grewal founded Lawgical Law Corporation and argues immigration cases at the Immigration and Refugee Board and the Federal Court of Canada.
Prabhpreet Kaur Sangha focuses on refugee claims, immigration appeals, inadmissibility, detention reviews and Federal Court cases, and has presented at Continuing Legal Education seminars and the National Immigration Conference.
Pardeep S. Grewal is an immigration and estates lawyer known for clear communication and practical strategy.
Every super visa applicant must complete an immigration medical exam with an approved panel physician. Most pass without issue. But if the exam shows a health condition, IRCC may ask for more tests through a medical furtherance letter, or send a procedural fairness letter saying the parent may be medically inadmissible. Under the Immigration and Refugee Protection Act, a person can be inadmissible on health grounds if their condition is likely to be a danger to public health or public safety, or might reasonably be expected to cause excessive demand on health or social services. A procedural fairness letter sets a deadline, and the response decides the outcome.
Lawgical Law Corporation, an immigration law firm in Surrey, Abbotsford and Vancouver, BC, responds to medical concerns in super visa and visitor applications and challenges medical refusals; this guide is by Pardeep S. Grewal.
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How a medical concern unfolds
| Stage | What it means | What to do |
|---|---|---|
| Medical exam | Exam with an approved panel physician | Disclose conditions honestly; bring past records |
| Furtherance letter | IRCC wants more tests or a report from a treating doctor | Complete them promptly; see a medical furtherance letter |
| Procedural fairness letter | IRCC thinks the parent may be medically inadmissible | Respond in full by the deadline, with medical evidence and, if invited, a mitigation plan |
| Refusal | Found inadmissible on health grounds | Judicial review within 60 days if outside Canada |
The three health grounds
- Danger to public health.
- Danger to public safety.
- Excessive demand on health or social services.
The mitigation plan
IRCC describes a mitigation plan as explaining how the person won’t cause excessive demand: how the needed services will be provided, how they’ll be paid for, and the family’s finances for the whole period, with a signed declaration of ability and willingness. Not everyone can give one; IRCC says it will invite you to if it applies.
Why this needs a lawyer
One lawyer, one file, every step:
- reading the letter to see exactly what IRCC is concerned about;
- getting the right medical evidence from treating doctors to answer it;
- preparing the mitigation plan, if invited;
- challenging a medical refusal in the Federal Court.
A procedural fairness letter is a narrow window. A response that answers the wrong question, or misses the deadline, usually ends in refusal.
Immigration lawyers are members of a provincial law society (in our case, the Law Society of British Columbia), and only a lawyer can take a refusal to the Federal Court. An immigration consultant cannot file or argue it there.
Mistakes I have seen
- Answering a procedural fairness letter with a short note from the family doctor.
- Missing the deadline in the letter.
- Not disclosing a known condition at the exam.
Frequently asked questions
Is my parent refused because they have a condition?
Not automatically. The question is whether the condition meets one of the legal grounds.
Does the super visa insurance solve the problem?
It helps show how care would be paid for, but it doesn’t answer every concern on its own.
Can we apply for a visitor visa instead?
A visitor visa may also require a medical exam, and the same concern can arise.
What should I do right now?
Note the deadline in any letter IRCC sent, collect your parent’s medical records and reports from treating doctors, and don’t send a reply until it’s complete.
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Sources (official)
- IRCC: Super visa eligibility (modified July 6, 2026)
- IRCC: Super visa, get your documents ready (modified February 10, 2025)
- Immigration and Refugee Protection Act, s. 38
- IRCC: Mitigation plans for excessive demand (modified July 23, 2026)
- Immigration and Refugee Protection Act, s. 72
This article is general information, not legal advice. Every case depends on its own facts.