Filling out an Overseas Medical Attestation Report

Have you been asked to fill out an Overseas Medical Attestation Report for a patient? Here’s what you need to know:

What is an Overseas Medical Attestation Report?

An Overseas Medical Attestation Report is a form/certificate necessary for anyone intending to work overseas. This medical report is issued when applying for an overseas work visa and includes medical tests that must be conducted by a physician.

As a physician, what do I need to complete on my patient’s Overseas Medical Attestation Report?

Fill out the section outlined in the green box below with the appropriate tests.

• Do not fill out the red section. This is for CPSA to attest your physician’s license.
• Inform the patient that they need to send the form to CPSA to have the report attested as proof that you hold a valid Alberta physician license. The patient can follow the instructions outlined here.
• The submitted form must contain your signature (a digital signature is acceptable).

Note: CPSA only reviews medical forms signed by a physician. CPSA’s role is to verify that the medical exam was performed by a physician licensed to practice in Alberta.