Medical Exam FAQs for Canada PR via Express Entry
Starting from August 21, 2025, if you’re applying through Express Entry for Canadian permanent residence (PR), you’ll need to complete an immigration medical exam (IME) as part of your application—unless you qualify for certain exemptions. This new requirement is an important step, so let’s explore some key questions surrounding the IME process. Whether you’re a newcomer or just contemplating your move to Canada, this information will help ease your journey!
Who is Exempt from the IME?
You might skip the IME if:
- You already live in Canada.
- You completed an IME in the last five years.
- Your previous IME showed you were a low or no risk to public health and safety.
What If I Have a Medical Condition?
Your approval hinges on whether your medical condition presents a risk to public health or if it would place excessive demand on Canada’s healthcare system. A condition is deemed likely to cause excessive demand if:
- The required health services could extend waiting times for others.
- The anticipated treatment costs are expected to exceed $135,810 over five years (or $27,162 per year).
Many applicants with medical conditions are still approved, and some may only need to undergo medical surveillance after landing.
Who Can Perform the IME?
Your family doctor can’t do the IME; only Immigration, Refugees and Citizenship Canada (IRCC)-approved panel physicians can conduct these exams. You can find a list of approved physicians through IRCC’s website.
What Will the IME Cost?
The cost can vary widely, typically ranging from CAD $140 to $180 based on age and tests required. Be prepared to cover:
- The physician’s exam fee.
- Any lab tests needed.
- Possible specialist consultations.
Some vaccinations may add to your costs, though refugees may have certain fees covered.
Documents to Bring
Make sure you have the following:
- A valid ID, ideally your passport.
- The Medical Report form from IRCC if sent to you.
- Four passport-sized photos, unless the clinic uses an eMedical system.
- Your medical history, including lists of current medications and vaccination records.
What Happens During the Exam?
There are two types of IMEs: the Standard Medical Exam and the Streamlined Medical Exam.
Standard Medical Exam
At your appointment, the clinic confirms your identity, and you will undergo:
- A questionnaire about your health history.
- A physical check-up, including height, weight, vision, and lung function.
- Additional tests, such as chest X-rays, if necessary.
Vaccinations may also be offered at this time, but they are voluntary.
Streamlined Medical Exam
The streamlined process is similar, but it focuses more on efficiency. You’ll confirm your identity, answer health questions, and may still need extra tests based on your age and history. Making sure to complete all requested steps promptly can prevent delays.
After the IME
Your physician will send your results directly to IRCC, and you will receive a document proving you completed the exam. Keep this for your records!
How Long Does the IME Take?
The exam typically lasts between 30 minutes and a few hours. Panel physicians usually upload results within 10 days, but IRCC will process them in conjunction with your entire immigration application.
Will I Get My Results?
Your results go straight to IRCC, but you can request a copy at the clinic. IRCC will contact you only if they require more medical information, so it’s a good idea to regularly check your application status.
Attaching Your IME to Your PR Application
After the IME, you’ll receive either an information printout or the IMM 1017B Upfront Medical Report form. You’ll need to upload one of these when submitting your PR application online.
How Long Are IME Results Valid?
Your medical exam results remain valid for 12 months. If they expire before IRCC makes a decision, you may need to repeat the exam.
As you navigate your journey to Canada, our website, VisaJobsCanada.com, is dedicated to helping international job seekers find positions that offer visa sponsorship. Whether you’re looking for your first job, or preparing for your PR application, we have the resources to make your transition smooth and successful.
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