{"id":2618,"date":"2026-11-14T01:18:29","date_gmt":"2026-11-14T01:18:29","guid":{"rendered":"https:\/\/www.lawgicalcorp.com\/blog\/medical-procedural-fairness-letter\/"},"modified":"2026-11-14T01:18:29","modified_gmt":"2026-11-14T01:18:29","slug":"medical-procedural-fairness-letter","status":"publish","type":"post","link":"https:\/\/www.lawgicalcorp.com\/blog\/medical-procedural-fairness-letter\/","title":{"rendered":"Got a medical procedural fairness letter: how to respond"},"content":{"rendered":"

By Pardeep S. Grewal<\/a>, lawyer at Lawgical Law Corporation \u00b7 Reviewed November 13, 2026<\/em><\/p>\n

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<\/a>.<\/em><\/p>\n

Updated November 13, 2026: IRPA s. 38, IRPR s. 1(1) and IRCC’s 2026 excessive demand cost threshold checked that day.<\/em><\/p>\n

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What it is:<\/strong> IRCC’s notice that you, or a family member, may be medically inadmissible. It isn’t a refusal yet.<\/p>\n

Deadline:<\/strong> the letter states it, usually 90 days. Ask for more time in writing before it runs out if you need more medical reports.<\/p>\n

Your response can:<\/strong> challenge the diagnosis or prognosis, challenge the cost estimate, and set out a mitigation plan where it applies. Why a lawyer<\/a><\/p>\n

Book a consultation<\/a><\/p>\n<\/div>\n

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Our immigration lawyers<\/p>\n

\"SundeepSundeep S. Grewal<\/span>Barrister and Solicitor<\/span><\/a>\"PrabhpreetPrabhpreet Kaur Sangha<\/span>Barrister and Solicitor<\/span><\/a>\"PardeepPardeep S. Grewal<\/span>Barrister and Solicitor<\/span><\/a><\/div>\n
\nAbout our lawyers<\/summary>\n
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Sundeep S. Grewal<\/a><\/strong> founded Lawgical Law Corporation and argues immigration cases at the Immigration and Refugee Board and the Federal Court of Canada.<\/p>\n

Prabhpreet Kaur Sangha<\/a><\/strong> 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.<\/p>\n

Pardeep S. Grewal<\/a><\/strong> is an immigration and estates lawyer known for clear communication and practical strategy.<\/p>\n<\/div>\n<\/details>\n<\/div>\n

A medical procedural fairness letter tells you that an IRCC officer believes you or a family member may be inadmissible on health grounds, usually for excessive demand on health or social services. It sets out the diagnosis, the services the officer expects you’ll need, and the estimated cost. You get one chance to answer before the officer decides, and the answer has to deal with the officer’s actual reasons.<\/p>\n

Lawgical Law Corporation<\/a>, an immigration law firm in Surrey, Abbotsford and Vancouver, BC, prepares responses to IRCC medical procedural fairness letters, including mitigation plans, and handles appeals and Federal Court reviews after a refusal; this guide is by Pardeep S. Grewal.<\/p>\n

What your letter says<\/h2>\n

Most letters follow the same pattern:<\/p>\n