Canada Introduces Upfront Medical Exams for Express Entry PR Applicants
IRCC has introduced a significant update for Express Entry candidates.
Beginning August 21, 2025, applicants invited to apply for permanent residence will be required to complete an upfront Immigration Medical Exam (IME) for themselves and their family members at the time of submitting their application.
Previously, applicants could submit their permanent residence applications and wait for IRCC instructions regarding medical exams.
Applications submitted before August 21, 2025 are not affected, and this change does not impact non-Express Entry PR applications.
Why Are Medical Exams Required?
All principal applicants and their accompanying family members must be medically admissible to Canada, even if some family members will not be moving immediately.
Common reasons for medical inadmissibility include:
Conditions expected to place an excessive demand on public health services (defined as more than three times the national per capita cost of healthcare, currently $27,162 per year).
Health conditions that pose a risk to public health, such as certain infectious diseases.
Read more about Medical Inadmissibility
What to Know About Immigration Medical Exams
Immigration medical exams (IMEs) must be done through an IRCC-approved panel physician. To book an exam:
Check IRCC’s official list of panel physicians by country or territory.
Contact a physician directly to schedule an appointment.
Cost: IMEs typically range from $140–$280 per person, with additional expenses for:
Physician or radiologist fees
Special tests, investigations, or treatments
Any specialist consultations
The exam may include:
Full medical history (surgeries, chronic conditions, treatments)
Physical exam (heart, lungs, eyes, and overall health)
X-rays (e.g., chest x-ray for tuberculosis)
Blood and urine tests
Mental health assessments
Review of immunization records
Using Past Medical Exams
Applicants currently in Canada who completed an IME within the last five years (for a work or study permit, for example) can submit their IME number or unique medical identifier with their PR application. IRCC will determine whether previous results are acceptable. If not, instructions for a new IME will be provided.
About the Author: Lauren Shannan is a Senior Immigration Consultant with 10 years of experience helping foreign nationals navigate their journey in Canada. With her extensive knowledge of immigration processes and policies, Lauren provides valuable insights to those looking to make Canada their new home.
Disclaimer: This blog post is for informational purposes only and does not constitute legal advice. For personalized advice, please consult with a licensed immigration professional.