Starting August 21, 2025, Immigration, Refugees and Citizenship Canada (IRCC) has introduced important updates to medical exam requirements for certain applicants, including those applying under Express Entry and some in-Canada immigration programs. These changes could directly impact your application timeline and eligibility, so it’s essential to understand the new rules before you apply.
Upfront Medical Exam Now Mandatory for Express Entry Applicants
If you’re applying under Express Entry, you now must complete your Immigration Medical Exam (IME) before submitting your application.
This is known as an upfront medical exam. You must include proof of your completed exam with your application.
What this means for you: Start planning early to ensure your medical exam results are ready before you submit your electronic application for permanent residence (eAPR).
Planning Ahead Is Key
With the new mandatory requirement, last-minute preparation could cost you valuable time or even result in a refusal. To avoid issues:
- Book early with an IRCC-approved panel physician.
- Keep all documentation from your exam, including the receipt and IMM form provided by the doctor.
- Upload proof along with your application to avoid processing delays.
Extended Medical Exam Policy for In-Canada Applicants
For applicants already inside Canada, there’s some good news. IRCC has extended its IME policy until October 5, 2029. If you completed an Immigration Medical Exam within the last five years, you may not need to undergo a new one. Simply include your IME number or unique medical identifier from your previous exam in your application.
This extension can save time and money for eligible applicants, but you’ll need to confirm your eligibility before skipping the exam.
Contact Us Before You Apply
Not sure whether you need a new medical exam before submitting your PR application? Our team at Greenberg Hameed can:
- Review your personal situation.
- Determine whether you need an upfront exam or if your previous IME is still valid.
- Help you prepare and submit a complete, compliant application.
Click here to contact us today to get expert guidance before you submit, and avoid costly delays.
For comprehensive legal analysis or strategic case support, contact Greenberg Hameed PC.
The content of this bulletin is for informational purposes only, and is not intended to provide or be relied on as legal advice.