🩺 Everything You Need to Know About Immigration Medical Exams, Latest IRCC Updates  

If you’re 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. Here’s what you should know. 

A. New Rule for Express Entry Applicants 

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). 

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. 

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 IRCC’s medical instructions. 

B. Medical Exam Validity and Renewal 

Your IRCC medical exam results are valid for 12 months. If your application takes longer to process, you may need to redo the exam. 

However, you may be exempt from a new medical if: 

• You are applying for permanent or temporary residence; 

• You currently live in Canada; 

• You completed your last IME within the past five years; 

• Your previous IME showed low or no risk to public health or safety. 

This exemption is valid until October 5, 2029. 

C. When Medical Conditions May Affect Applications 

A medical condition may impact your application if it: 

• Poses a risk to public health or safety, or 

• Places an excessive demand on Canada’s healthcare or social services. 

The “excessive demand” rule does not apply to Family Sponsorship, Refugee, or H&C applications. 

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. 

If you ever receive a Procedural Fairness Letter (PFL) due to a medical issue, don’t panic, this is your chance to respond. A qualified immigration professional can help you demonstrate that your condition won’t create excessive demand or propose ways to manage it privately. 

Stay Updated 

Medical exam requirements can change. Always check the official IRCC website or consult an immigration expert for personalized advice.