How to submit an Immigration Medical Exam (IME)

This section contains policy, procedures and guidance used by Immigration, Refugees and Citizenship Canada staff. It is posted on the Department’s website as a courtesy to stakeholders.

Paper-based Immigration Medical Examinations

The majority of Panel Physicians submit IMEs electronically to their Regional Medical Office (eMedical). In the exceptional cases where the Panel Physician does not have access to eMedical, submission of paper-based immigration medical examinations is accepted.

Guidelines for paper-based immigration medical examination record management
  • Original documents and information related to an immigration medical examination must be forwarded to the responsible Regional Medical Office. Original documents must never been given to the client for delivery to the Regional Medical Office.
  • Panel physicians are encouraged to give a copy of the immigration medical examination to the client, unless it would be injurious to the client’s physical or mental health.
  • Panel physicians are required to keep copies and records of files for at least 2 years and in compliance with their local regulatory and licensing requirements.
  • Panel physicians should retain tracking numbers for the shipments of immigration medical examinations for 6 months.
Panel Physicians are to submit the original immigration medical examination documents in the following order
  • IMM 1017 - Client Biodata and Summary or IMM 1017B UPFRONT - Client Biodata and Summary
  • IMM 5743 - Client Consent and Declaration
  • IMM 5419 - Medical Report: Medical History Questions
  • IMM 5419 - Medical Report: Physical Examination
  • IMM5419 - Medical Report: Laboratory Requisition and Report
  • IMM 5419 - Medical Report: Chest X-ray Requisition and Report
  • Urinalysis Report(s)
  • HIV Report
  • Syphilis Report, RPR Report(s)
  • Chest X-Ray Report - Radiology Findings
  • All other medical reports
  • Any other information (passports, visas, letters, etc)
    • Chest x-ray : Digital chest x-ray (DICOM) - Staple the top left of the CD envelope to the back of the immigration medical examinations, with the client’s name visible on either the envelope or the DICOM itself; or
    • Chest x-ray in hard copy (if DICOM is not available). If possible, lateral x-rays should be placed upside down, with the spine on the left side, and stapled behind the immigration medical examinations on the top left corner. Frontal x-rays should be placed upside down with the left ventricle on the left side, and stapled behind the immigration medical examinations on the top left corner. Frontal x-rays are placed after lateral x-rays

Include a log sheet with the client’s name and date of birth and the file numbers of all files in the package. The log sheet and tracking numbers are used to trace lost or misplaced records.

Electronic immigration medical examination (eMedical)

Where technologically feasible, Panel Physicians complete the immigration medical examination and enter results into the eMedical system. These results are transferred to GCMS for processing.

Note: Panel Physicians are unable to submit an incomplete immigration medical examination through eMedical.

Guidelines for record management using eMedical
  • Panel physicians are encouraged to print out a full copy or a summary of the immigration medical examination for their own records and/ or to give to clients, unless it would be injurious to the client’s physical or mental health.
  • If the panel physician plans to print out a copy of the immigration medical examination, it must be done before submitting the immigration medical examination through eMedical. Once the immigration medical examination has been submitted through eMedical, there is no way for the panel physician to retrieve it in order to make a copy.
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