Medical Condition Statement

Source-derived guide with citations. Always confirm the exact forms required for your program and use the latest versions from IRCC.

IMM 0133 is an official IRCC form. IMM 0133, the Medical Condition Statement, is a form used in specific applications. It is important to use the current version and follow the checklist tailored to your situation.

Last reviewed: 2026-01-30

Overview

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IMM 0133, the Medical Condition Statement, is a form used in specific applications. It is important to use the current version and follow the checklist tailored to your situation.

This form collects personal information about the child and requires declarations from the adoptive parent or guardian. Make sure to complete all sections accurately to avoid delays in your application.

Context & workflow

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The Medical Condition Statement (IMM 0133) collects personal and medical information about the child. It also requires declarations from the adoptive parent or guardian.

Why this matters

  • Accurate information is crucial for processing your application.
  • Missing signatures or incomplete sections can delay your application.

Who uses it

Applicants required to complete this form for their application package.

When it is used

  • When the checklist for your program/package lists this form.

Failure prevention (how to avoid rework and returns)

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Key cross-checks to do before you submit

  • Cross-check the Surname of the child.
  • Verify the Given name of the child.
  • Check the Date of Birth (YYYY-MM-DD).
  • Confirm the File number.
  • Ensure the UCI of the child is correct.

Common issues that cause rework or refusal

  • Missing required fields like Surname or Given name.
  • Missing signature of the parent(s) or guardian.

Common pitfalls

Common pitfalls
Form Version Issues
  • Using an outdated version of the form.
Inconsistencies
  • Inconsistent details across forms and documents.
Signature Problems
  • Missing signatures where required.

Requirements snapshot

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  • Complete PART 1: PERSONAL INFORMATION OF THE CHILD.
  • Provide the Surname and Given name of the child.
  • Include Date of Birth (YYYY-MM-DD).
  • Fill in the File number and UCI of the child.
  • Complete PART 2: DECLARATION OF ADOPTIVE PARENT.

Form sections

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  • Reset Form

    Use this option if you need to clear the form and start over.

  • Print Form

    Print the completed form for submission.

  • MEDICAL CONDITION STATEMENT

    This section collects important medical information.

  • PART 1: PERSONAL INFORMATION OF THE CHILD

    Provide the child's personal details here.

  • PART 2: DECLARATION OF ADOPTIVE PARENT

    Review the declarations and sign where required.

  • TYPE NAME OF PARENT(S) OR GUARDIAN:

    Enter the names of the parent(s) or guardian.

  • SIGNATURE OF PARENT(S) OR GUARDIAN:

    Sign and date this section to confirm the information.

What it asks for

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  • PART 1: PERSONAL INFORMATION OF THE CHILD
  • Surname of the child:
  • Given name of the child:
  • Date of Birth (YYYY-MM-DD):
  • File number:
  • UCI of the child:
  • PART 2: DECLARATION OF ADOPTIVE PARENT
  • TYPE NAME OF PARENT(S) OR GUARDIAN:
  • SIGNATURE OF PARENT(S) OR GUARDIAN:

What you need before you start

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  • The current IMM 0133 form downloaded from the official IRCC form page.
  • Surname of the child.
  • Given name of the child.
  • Date of Birth (YYYY-MM-DD).
  • File number.
  • UCI of the child.
  • Name of adoptive parent or guardian.
  • Date (YYYY-MM-DD) for signing.

Checklist

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  • Download the current IMM 0133 from the official IRCC form page.
  • Save the PDF locally and open it in a compatible PDF viewer.
  • Follow the form’s signature instructions.
  • Complete the form by copying details from your source documents.
  • Review the declarations and sign where required.
  • Cross-check repeated details across your package for consistency.
  • Follow the program checklist for submission format and supporting documents.

FAQs

Where do I download IMM 0133?

Use the official IRCC form page to download the current version.

Is IMM 0133 required for everyone?

Only if your program checklist or the program authorities instructions require it.

Do I need to sign this form?

Yes. Sign and date the declaration section if it appears in the form.

Do I need to sign by hand?

Follow the form instructions. Some IRCC PDF forms require a printed, handwritten signature.

Can I submit an old version?

No. IRCC can return outdated forms. Always use the latest version.

Do I need translations?

Yes, if any supporting documents are not in English or French.

What happens after IMM 0133?

It becomes part of your application package and is reviewed with the rest of your evidence.

What if IRCC asks for additional documents?

IRCC may request additional documents or clarification during processing. Respond by the deadline and keep any new information consistent with the rest of your package.

Important

VisaMind provides informational guidance only and is not a government agency. This is not legal advice. Requirements can change and eligibility depends on your specific facts. If your case is complex or high-stakes, consult a licensed immigration attorney.

Next steps

Requirements vary by nationality, purpose, timeline, and case details. VisaMind turns uncertainty into a sequenced checklist with official source citations.

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