As of August 21, 2025, Immigration, Refugees and Citizenship Canada (IRCC) has updated the medical exam rules for Express Entry applicants.
All candidates submitting a complete application for permanent residence (PR) under Express Entry are now required to take an upfront immigration medical exam (IME), unless they qualify for a specific exemption.
This has created a lot of questions from applicants and prospective candidates who want to know how the process works, what it costs, and whether medical conditions affect their eligibility.
To make things easier, we’ve covered some FAQs on Immigration Medical Exams for Express Entry PR.
So, without further ado, let us begin!
Who Is Exempt From Doing An Immigration Medical Exam?
The first and one of the most important FAQs on Immigration Medical Exams for Express Entry PR is what conditions one have to meet to be exempt from doing an IME.
Well, not every applicant needs to undergo a new IME. IRCC has introduced clear exemption criteria to avoid unnecessary repeat exams.
You may be exempt if you:
- Already live in Canada
- Have completed an immigration medical exam within the past five years
- Your previous exam showed you pose low or no risk to public health or safety
If you meet all three conditions, you likely won’t need a new IME. However, IRCC may still request one if they need updated medical information.
What If I Have A Medical Condition – Can I Still Be Approved?
Many applicants worry about how a medical condition might affect their PR application. The truth is, having a health condition does not automatically mean refusal.
Approval depends on two key factors:
- Whether the condition poses a public health or safety risk in Canada
- Whether the condition would create an excessive demand on Canada’s healthcare or social services
What Does “Excessive Demand” Mean?
A condition is considered to cause excessive demand if:
- The treatment would significantly increase wait times for essential health or social services
- The cost of treatment and management is expected to go beyond the threshold set by IRCC
Excessive Demand Cost Threshold (2025)
| Year | Threshold Over 5 Years | Annual Threshold |
| 2025 | $135,810 | $27,162 |
This means if your medical condition is expected to cost more than $135,810 over five years, it may impact your eligibility.
However, keep in mind:
- Many conditions fall well below this cost.
- Some applicants may only be required to undergo medical surveillance after arrival (for example, follow-up for tuberculosis).
- Each case is reviewed individually and refusal is not automatic.
If you’re concerned about medical inadmissibility, consulting an experienced immigration professional can provide clarity and options.
Can My Family Doctor Do The Exam?
No. Your regular family physician or local doctor is not authorized to conduct immigration medical exams.
Only IRCC-approved panel physicians can perform an IME.
You must choose a doctor from the official IRCC list of certified panel physicians, which is updated regularly.
How Much Does An Immigration Medical Exam Cost?
The cost varies depending on the country, clinic, and tests required.
In Canada, the typical range is:
- Children (0–14 years): CAD $140 – $150
- Applicants aged 15–74: CAD $170 – $180
Remember, these fees only cover the basic exam. Applicants are also responsible for additional costs, such as:
- Radiology (X-rays) and laboratory tests
- Specialist consultations if required
- Vaccinations offered at the clinic
Applicants must pay these costs out of pocket. However, refugees and asylum seekers may have certain fees covered by government programs.
What Documents Should I Bring To The Medical Exam?
Another one of the FAQs on Immigration Medical Exams for Express Entry PR is the list of documents you need to bring to the medical exam.
Well, to ensure a smooth appointment, IRCC recommends bringing:
- Government-issued ID (passport preferred, or national ID, driver’s license from eligible countries, refugee documents, or birth certificate for minors)
- IMM 1017E or IMM 1020E form (if IRCC has sent one)
- Four passport-style photos (only if the clinic does not use the eMedical system)
- Eyeglasses or contact lenses (if applicable)
- Medical history and records of ongoing or past conditions
- List of current medications
- Vaccination records (optional but strongly encouraged, especially COVID-19)
Tip: Keeping vaccination proof handy can speed up your medical file processing.
What Happens During The Medical Exam?
IRCC recognizes two types of immigration medical exams:
- Standard Medical Exam
- Streamlined Medical Exam
Standard Medical Exam
This is the most common exam for PR applicants.
Identity check includes:
- Clinic staff verify your ID and may request it again for follow-up tests.
- A photo is taken for IRCC’s records.
Medical History
- The doctor asks about past and present conditions, medications, surgeries, or hospitalizations.
- Be truthful and detailed. Any missing information can delay your file.
Physical Examination
Typical checks include:
- Height and weight
- Vision and hearing
- Heart and lung function
- Abdomen, skin, and mobility
Note: Genital and rectal exams are not required. Breast exams may be done only if medically necessary.
Additional Tests
Depending on your age and health, you may need chest X-rays, blood tests, urine tests, or a specialist referral.
Vaccinations
- Proof of vaccinations is optional but recommended.
- Some vaccines, including COVID-19, may be offered.
- Taking them is voluntary, but records are shared with IRCC if you consent.
Streamlined Medical Exam
This is a simplified version of the IME, available for certain applicants.
Process includes:
- ID is verified, and a photo is taken.
- A medical history questionnaire is completed.
- Only essential tests are performed, but you may be referred for further testing if needed.
In both exam types, applicants have the right to a chaperone and may pause the exam if uncomfortable.
What Happens After The Medical Exam?
Once complete, the panel physician:
- Upload your results directly to IRCC via eMedical
- Provides you with a document proving completion (keep this safe)
You will not receive the full results yourself, but you can request a copy from the clinic.
How Long Does The Exam And Processing Take?
Yet another one of the vital FAQs on Immigration Medical Exams for Express Entry PR is the duration of the exam and its processing.
The IME appointment itself usually takes 30 minutes to a few hours, depending on clinic wait times and whether additional tests are required.
Processing times:
- Panel physicians normally upload results within 10 days.
- IRCC then reviews them as part of your overall PR application.
Does IRCC Confirm When Results Are Received?
Not automatically.
- Panel physicians send results straight to IRCC.
- You can request a copy of your exam details from the clinic.
- IRCC will only contact you if further medical information is needed.
Important: Medical reports and X-rays become IRCC’s property once submitted. They are not returned to applicants.
To track your application, regularly check the Express Entry PR portal.
How Do I Attach My Medical Exam To My PR Application?
Once you finish your IME, the panel physician will give you either:
- An Information Printout Sheet
- The IMM 1017B Upfront Medical Report form
When applying online, upload this document in the designated section of your PR application.
How Long Is A Medical Exam Valid For?
IME results are valid for 12 months from the exam date.
If your results expire before IRCC finalizes your PR decision, you may be asked to complete a new exam.
CWRVisa, a Canadian immigration leader, promises excellence and tailored pathways for your Canadian journey. Get in touch with us at CWRVisa.ca.