If youâre planning to apply for permanent residence in Canada, understanding the immigration medical exam process is essential. Recent IRCC updates have changed when and how certain applicants must complete their exams. Hereâs what you should know.Â
A. New Rule for Express Entry ApplicantsÂ
Starting August 21, 2025, Express Entry applicants must now complete and submit their Immigration Medical Exam (IME) upfront after receiving their Invitation to Apply (ITA).Â
In the past, IRCC sent instructions after you submitted your application. Now, you should book an appointment with an approved panel physician as soon as you get your ITA to avoid delays.Â
Note: This change applies only to Express Entry. For other programs such as Family Sponsorship, Provincial Nominee Programs (PNP), or Humanitarian and Compassionate (H&C) applications, you should still wait for IRCCâs medical instructions.Â
B. Medical Exam Validity and RenewalÂ
Your IRCC medical exam results are valid for 12 months. If your application takes longer to process, you may need to redo the exam.Â
However, you may be exempt from a new medical if:Â
You are applying for permanent or temporary residence;Â
You currently live in Canada;Â
You completed your last IME within the past five years;Â
Your previous IME showed low or no risk to public health or safety.Â
This exemption is valid until October 5, 2029.Â
C. When Medical Conditions May Affect ApplicationsÂ
A medical condition may impact your application if it:Â
Poses a risk to public health or safety, orÂ
Places an excessive demand on Canadaâs healthcare or social services.Â
The âexcessive demandâ rule does not apply to Family Sponsorship, Refugee, or H&C applications.Â
Conditions such as autism or certain disabilities are typically not considered excessive demand. However, other conditions, such as kidney disease, are assessed based on their projected healthcare costs and medical reports.Â
If you ever receive a Procedural Fairness Letter (PFL) due to a medical issue, donât panic, this is your chance to respond. A qualified immigration professional can help you demonstrate that your condition wonât create excessive demand or propose ways to manage it privately.Â
Stay UpdatedÂ
Medical exam requirements can change. Always check the official IRCC website or consult an immigration expert for personalized advice.Â
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