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    Imm5985 2-17SVX60R

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    arifakhatoon416
    This document is an acknowledgement of a refugee claim made by Arifa Khatoon, who was born in 1987. It notifies her that she is eligible for interim health coverage and must undergo a medical exam. She is also required to return for an interview on a future date and time that is not specified, and must bring identification for that appointment.

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    Imm5985 2-17SVX60R

    Uploaded by

    arifakhatoon416
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    This document is an acknowledgement of a refugee claim made by Arifa Khatoon, who was born in 1987. It notifies her that she is eligible for interim health coverage and must undergo a medical exam. She is also required to return for an interview on a future date and time that is not specified, and must bring identification for that appointment.

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    IMM5985_2-17SVX60R

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    This document is an acknowledgement of a refugee claim made by Arifa Khatoon, who was born in 1987. It notifies her that she is eligible for interim health coverage and must undergo a medical exam. She is also required to return for an interview on a future date and time that is not specified, and must bring identification for that appointment.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    15 views1 page

    Imm5985 2-17SVX60R

    Uploaded by

    arifakhatoon416
    This document is an acknowledgement of a refugee claim made by Arifa Khatoon, who was born in 1987. It notifies her that she is eligible for interim health coverage and must undergo a medical exam. She is also required to return for an interview on a future date and time that is not specified, and must bring identification for that appointment.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    UCI: 11-3524-0586

    Application Number: L400119233

    ACKNOWLEDGEMENT OF CLAIM AND NOTICE TO RETURN FOR INTERVIEW

    Family Name: KHATOON


    Given Name: ARIFA
    Date of Birth: 1987/12/01 YYYY/MM/DD
    This notice acknowledges that the Government of Canada received your refugee claim on
    2024/04/03 YYYY/MM/DD.

    You are now eligible for health care coverage under the Interim Federal Health Program (IFHP). You are
    required to undergo an Immigration Medical Examination as part of your refugee claim. The IFHP will cover the
    cost of this examination. Please present this notice and your IMM 1017 form to the panel physician at your
    appointment.

    You are required to return for an interview with respect to your refugee claim. The details are as follows:

    Date:
    Time:
    Address:

    You must bring the following with you:


    • This original appointment letter
    • 4 original passport-sized photographs

    If you are under 18 years of age, you must be accompanied by a parent or legal guardian if he or she resides
    in Canada.

    IMPORTANT:
    If you do not appear for your interview, your IFHP coverage may be terminated. In addition, your
    refugee claim may subsequently be determined to have been abandoned in which case you will be
    subject to removal from Canada.

    Note – If you pay for any medical services or products, you will not be reimbursed.

    Health care providers in Canada MUST verify the eligibility of the individual with the IFHP claims
    administrator, Medavie Blue Cross, before providing services. Medavie Blue Cross may be contacted by
    telephone at 1-888-614-1880, by facsimile at 506-867-4651 or through their website at
    https://www.medaviebc.ca/en/health-professionals.

    IMM 5985 (10-2019) E GCMS

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