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FAQs on Medical Exams for Express Entry Permanent Residency in Canada

ICC Immigration Inc > Blogs > Announcement > FAQs on Medical Exams for Express Entry Permanent Residency in Canada

Applying for Canadian Permanent Residency (PR) through Express Entry requires meeting certain eligibility criteria—and one crucial step is the Immigration Medical Exam (IME). As of 21 August 2025, Immigration, Refugees and Citizenship Canada (IRCC) now requires upfront medical exams as part of a complete application, unless an applicant meets specific exemptions.

This blog answers the top 10 frequently asked questions (FAQs) about medical exams for Express Entry PR and explains how ICC Immigration can help you navigate the process confidently.

1. Who is exempt from the Immigration Medical Exam?

You may be exempt if all of these conditions apply:

  • You already live in Canada,

  • You completed an IME within the last 5 years, and

  • Your previous results showed you were low or no risk to public health.

If these don’t apply, you will need to undergo a new IME.

2. What if I have a medical condition?

Having a medical condition does not automatically mean refusal. IRCC assesses whether the condition poses:

  • A public health or safety risk, or

  • An excessive demand on Canada’s healthcare or social services.

The excessive demand cost threshold for 2025 is $135,810 over 5 years (or $27,162 annually). If treatment costs exceed this, your PR could be affected.

3. Who can perform the IME?

Your family doctor cannot do the exam. Only IRCC-approved panel physicians are authorized.
👉 Find the list of panel physicians here: IRCC Panel Physicians List.

4. How much does an IME cost in Canada?

Costs vary depending on the clinic and age:

  • Children (0–14 years): $140 – $150 CAD

  • Adults (15–74 years): $170 – $180 CAD

Additional costs may include X-rays, blood tests, specialist consultations, or vaccinations.

5. What documents should I bring?

Bring the following to your exam:

  • Passport or government-issued ID,

  • IMM 1017E or IMM 1020E form (if provided),

  • Four passport-style photos (if required),

  • Glasses/contact lenses,

  • Medical history and medication list,

  • Vaccination records (optional but recommended).

6. What happens during the exam?

There are two types of IMEs: Standard and Streamlined.

  • Medical History Review: You’ll answer questions about past and current health conditions.

  • Physical Examination: Includes checking vision, hearing, lungs, heart, skin, abdomen, and mobility.

  • Tests: Depending on age/health, you may need blood work, urine tests, or X-rays.

  • Vaccinations: Proof of COVID-19 or other vaccines may be recorded, but vaccinations are voluntary.

You can always request a chaperone and ask questions during the exam.

7. How long does it take?

The exam itself may take 30 minutes to a few hours, depending on required tests. Results are usually uploaded by physicians within 10 days through the eMedical system. IRCC processing depends on your overall PR application timeline.

8. Can I get a copy of my results?

Yes, you can request a copy directly from the clinic. However, once submitted, the medical report becomes IRCC property and won’t be returned. IRCC will only contact you if further medical information is required.

9. How do I submit my IME to IRCC?

After completing the IME, your panel physician will give you either:

  • An information printout sheet, or

  • An IMM 1017B upfront medical report.

Upload this document in your Express Entry PR application portal.

10. How long are IME results valid?

Medical exam results are typically valid for 12 months. If they expire before IRCC makes a decision, you may be asked to redo the exam.

How ICC Immigration Can Help You Secure Your Future in Canada

Completing the medical exam for Express Entry PR is just one step in a complex process. At ICC Immigration, our team of professionals helps you navigate every stage with confidence.

Here’s how we support your journey:

✅ Permanent Residency Applications – We guide you through Express Entry, Provincial Nominee Programs (PNPs), and other PR pathways to ensure a smooth application.

✅ Work Permits & Study Permits – If PR isn’t immediate, we help you explore temporary options that can lead to permanent residency.

✅ Family Sponsorships – We assist with reuniting families in Canada under sponsorship programs.

✅ Expert Legal Advice – Immigration law is complex, and mistakes can cause delays or refusals. Our licensed team ensures your application is fully compliant with current IRCC policies.

Instead of depending on uncertain asylum claims, ICC Immigration offers you a stable and secure pathway to Canadian Permanent Residency. Whether you’re already in Canada or planning your move, we’ll help you choose the right immigration strategy for long-term success.

Final Thoughts

The Immigration Medical Exam (IME) is an essential requirement for Express Entry PR applicants in Canada. Understanding the process—costs, documents, validity, and exemptions—can prevent unnecessary delays. With professional guidance from ICC Immigration, you can ensure your application is complete, accurate, and well-prepared.