Confirm the medical decision and available next step
Download or obtain the official result and identify the finding that produced the unfit status. Contact FOMEMA directly for the current review or appeal process, required documents and filing period rather than relying on an informal promise that the result will change.
If further medical attention is needed, follow qualified clinical advice while the administrative decision is being handled.
Complete return evidence before replacement
When the unfit result remains final, coordinate the departure and Immigration Check Out Memo process. Keep the ticket, travel details, Check Out Memo, departure confirmation and agency correspondence in one case file.
Only then assemble the replacement-permit documents required by Immigration. Review the agency contract separately to determine which costs or service obligations apply between the household and agency.