Program delivery update: Facilitation period for applications received without a medical – Express Entry
This section contains policy, procedures and guidance used by IRCC staff. It is posted on the department’s website as a courtesy to stakeholders.
October 21, 2025
As of August 21, 2025, Express Entry applicants are required to provide an upfront medical examination at the time of their application for permanent residence. The Express Entry completeness check instructions have been updated accordingly to include facilitation period timelines. Applications received on or after October 21, 2025, without an immigration medical examination (IME) may be rejected as required.