With effect from October 1st, an upfront medical examination is no longer mandatory for permanent residence through Express Entry.

An immigrant medical exam (IME) from a panel physician is mandatory for permanent residency in Canada.

If you have never had IME before, you can now upload a blank document in the upload section of the Express Entry profile builder when submitting your application. Immigration, Refugees, and Citizenship Canada (IRCC) will send you further instructions and updates on when to get your medical examination.

If you have already done IME before for your previous application, study, or work permit and are currently living in Canada, then you don’t need to complete IME again while applying for permanent residency in Canada.

About the IME

For permanent residence, you need to have an IME. Your family members need IME as well, even if they are not accompanying you to Canada.

Your personal doctor can’t do your IME. Instead, you need to see a doctor from the list of panel physicians, who are physicians approved by the IRCC.

The panel physician doesn’t make the final decision about your medical exam; IRCC does. IRCC won’t approve a permanent residence application if your health is a danger to Canada’s public health or safety or if it would cause too much need for health or social services in Canada.

While visiting for your appointment for the medical exam, you need to bring: 

• Proper identification
• Contact lenses or eyeglasses if you wear them.
• Any previous medical reports or test results that you may have for any existing or previous medical conditions
• List of your current medications
• The Medical Report Form is required if an upfront medical exam is not obtained.
• Four recent photographs are needed if the panel physician does not use eMedical.

The medical exam likely consists of a medical history questionnaire with questions regarding any previous or existing conditions. You will also undergo a physical examination. Depending on your age, you may need to undergo chest X-rays and other laboratory tests.

You need to pay all the fees related to the IME when you are there. Once you receive the results, the physical will send them to you and provide a document confirming that you had IME.

Your IME results are valid for only 12 months. If you do not come to Canada as a permanent resident within that time, you may be required to take another exam.

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