Introduction As of August 21, 2025, Immigration, Refugees and Citizenship Canada (IRCC) requires all new applicants for Canadian Permanent Residence (PR) through the Express Entry
Introduction
As of August 21, 2025, Immigration, Refugees and Citizenship Canada (IRCC) requires all new applicants for Canadian Permanent Residence (PR) through the Express Entry system to complete an upfront Immigration Medical Exam (IME) before submitting their application. Previously, IMEs were completed after submitting the PR application.
Key Details of the Express Entry Medical Exam Requirement
Who Must Complete the Medical Exam
The Express Entry PR application medical exam must be completed by the principal applicant and all immediate family members, including spouse/common-law partner, dependent children, and their dependents, even if they are not accompanying the applicant to Canada.
Exemptions for Medical Exam
Applicants may be exempt from the express entry medical exam requirement if they meet all the following conditions:
- Completed an IME in the last five years.
- The previous IME indicated low or no risk to Canadian public health and safety.
- Currently residing in Canada.
Exempt applicants must provide proof of their previous IME, such as the Information printout sheet, IMM 1017B Upfront Medical Report form, or their IME number, when submitting their PR application.
Procedure and Validity of IME
The IME panel physician must be approved by IRCC and have access to the eMedical system to submit results directly to IRCC. After completing the IME, the physician will provide documentation, such as the Information printout sheet or IMM 1017B form, which must be included in the PR application.
IME results are typically valid for 12 months from the date of the exam. If the results expire before IRCC makes a decision, applicants may be required to undergo a new medical exam.
Conclusion
The introduction of the express entry medical exam requirement streamlines the PR application process by ensuring medical admissibility is assessed earlier. Applicants should schedule their IME promptly and ensure all necessary documentation is included to avoid delays in their application.
FAQ
Q: Can I use a previous IME for my PR application?
A: Yes, if the IME was completed within the last five years, indicated low or no risk to public health and safety, and you are currently residing in Canada.
Q: How do I find an approved IME panel physician?
A: You can find a list of IRCC-approved panel physicians on the IRCC website.
Q: What documents do I need to bring to the IME?
A: Bring valid identification, medical history, current medications, vaccination records, and any previous medical reports.
