Medical exams for Express Entry

You must have a medical exam from a panel physician before you apply for permanent residence. Your accompanying or in-Canada family members must also have a medical exam.

If you and your dependants are inside Canada

You should complete your medical exam as soon as you get your invitation to apply. The results of your exam must be valid

  • when you submit your application for permanent residence, and
  • when you receive permanent residence in Canada

For this reason, it is a good idea to complete the exam as close as possible to the date you submit your online application.

We don’t send you any documents to take to the exam. When the panel physician finishes the medical exam, they will give you an

  • information printout sheet, and
  • IMM 1017B Upfront Medical Report form

When you apply online, you will need to provide both documents.

We won’t approve your permanent resident application if your health

  • is a danger to Canada’s public health or safety
  • would cause too much demand on health or social services in Canada

Special temporary measures due to COVID-19

If you are unable to get an IME appointment before the deadline, you may submit proof that your IME appointment with an IRCC panel physician has been scheduled instead. Using the web form, tell us the name of the physician and the date and time of the appointment. 

When you complete your IME, use the web form again to submit the documents your physician gives you.

Don’t book more than one IME appointment and don’t travel to other regions for your appointment.

If you and your dependants are outside of Canada

Don’t get your medical exam as soon as you get your invitation to apply.

We will send you a form telling you when and how to get a medical exam.

When you apply online, you must submit a letter of explanation in your document checklist instead of your immigration medical exam (IME). In the letter, you must indicate that the primary applicant or the accompanying dependants of the primary applicant are outside Canada.

If you have undergone a medical exam as part of an application in another category and/or if you have completed an IME in the 12 months before you apply, you can submit a copy of the Information Printout Sheet and the IMM 1017B Upfront Medical Report form in your application.

An IRCC officer may still require a new IME.

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