Canada Express Entry Applicants No Longer Need Upfront Medical Exams

The Canadian immigration landscape is evolving, and as of October 1st, there's a significant change in the Express Entry permanent residence application process. Find out what this means for your immigration journey, from exemptions to medical exams to streamlined procedures.

In a significant update to the Canadian immigration process, prospective permanent residents applying through Express Entry are no longer required to undergo an upfront medical examination.

This change, introduced on October 1st, aims to streamline the application process and reduce initial hurdles for applicants.


The Immigrant Medical Exam (IME) Requirement

Traditionally, a medical examination, known as the Immigrant Medical Exam (IME), conducted by a panel physician, was a mandatory prerequisite for obtaining permanent residence in Canada. However, this requirement has now been modified to simplify the application process.

New Application Procedure

For First-time IME Applicants

If you have never completed an Immigrant Medical Exam (IME), you can now simply upload a blank document in the designated field within the Express Entry profile builder during the application submission.


Subsequently, Immigration, Refugees and Citizenship Canada (IRCC) will provide you with detailed instructions regarding when and how to proceed with your medical examination.

Exemptions for Previous IME Applicants in Canada

For individuals who have previously undergone an IME as part of another application, such as a work or study permit, and are currently residing in Canada, there is no need to repeat the examination when applying for permanent residence.

Also Read: Work Visa Holders’ Roadmap to Success in Canada’s Job Market

Understanding the IME Process

To ensure compliance with the new guidelines, it’s essential to understand the revised IME process and its implications:


Panel Physicians

When seeking a medical exam, you must consult a physician listed on the approved panel by IRCC. Your personal doctor cannot conduct the examination.

IRCC Decision

The final decision regarding your medical exam lies with IRCC. Permanent residence applications may be denied if an applicant’s health poses a risk to public health and safety in Canada or if it would place excessive demands on Canadian healthcare and social services.

Appointment Essentials

When attending your medical exam appointment, be sure to bring the following:

  • Proper identification
  • Eyeglasses or contact lenses (if applicable)
  • Any medical reports or test results related to previous or existing medical conditions
  • A list of your current medications
  • The Medical Report form (if you did not have an upfront medical exam)
  • Four recent photographs (if the panel physician does not use eMedical)

Examination Details

The medical examination typically comprises a medical history questionnaire, assessing any past and present medical conditions, along with a physical examination. Depending on your age, chest X-rays and other laboratory tests may be requested.


Exam Fees

All costs associated with the medical exam must be paid at the time of the appointment. Upon completion, the physician will forward the results to you and provide a document certifying your compliance with the medical examination requirement.

Validity Period

It’s important to note that the results of your medical exam are valid for a period of 12 months only. Failing to come to Canada as a permanent resident within this timeframe may necessitate another examination.


The new policy of no upfront medical exams for Express Entry applicants is a welcome change. It will make the Express Entry process easier and faster for applicants, and it will also allow IRCC to focus on processing applications from applicants who are most likely to meet all of the requirements for permanent residence.

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Manish Khandelwal
Manish Khandelwal

Manish Khandelwal, a tech enthusiast with over a decade of experience in the travel industry. Founder and Editor-in-Chief of, he's passionate about writing.

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