Based on my review of the results of this medical examination and all the reports I have received with respect to this applicant's health condition, I conclude that be has a health condition that might reasonably be expected to cause excessive demand on health and social service. Specifically, this health condition might reasonably be expected require services, the costs of which would likely exceed the average Canadian per capita costs over five years and would add to existing waiting lists or deny the provision of those services to those in Canada who need and are entitled to them. This applicant is therefore, inadimissible under Section 38(1)(c) of the Immigration and Refugee Protection Act.

Before I make a final decision, you may submit additional information relating to this medical condition or diagnosis. You may also submit any information addressing the issue of excessive demand if it applies to your case.