Effective August 21, new regulations require Express Entry candidates to complete an upfront Immigration Medical Exam (IME) before submitting their Permanent Residence (PR) application—unless they qualify for specific exemptions.
This change by Immigration, Refugees and Citizenship Canada (IRCC) marks a significant shift from the previous process where applicants only completed medical exams after submitting their PR application. Here’s a detailed breakdown of what this means for you and how you can ensure a smooth application process.
What Has Changed for Express Entry Applicants?
Previously, candidates applying for Canadian permanent residency under Express Entry were asked to submit their medical exam only after IRCC requested it. Now, if you have received an Invitation to Apply (ITA) for PR, you must complete an upfront IME before submitting your application, unless you meet exemption criteria.
Who Is Exempt from the New IME Rule?
You can skip this new requirement only if all the following conditions apply:
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You completed an IME in the past five years.
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Your previous IME showed you were low risk or no risk to public health and safety.
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You are currently living in Canada.
If you meet these conditions, you can reuse your old medical exam results. To do so, provide:
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An Information printout sheet, or
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IMM 1017B Upfront Medical Report form, or
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Your IME number (unique medical identifier).
IRCC will verify your eligibility and let you know if a new exam is required.
Why Are IMEs Important?
The Immigration Medical Exam ensures you and your family members do not pose health risks to Canadian society. All accompanying and non-accompanying family members (spouse, common-law partner, dependent children, and their dependents) must also undergo the exam, even if they are not coming to Canada with you.
Key point: IME results are valid for 12 months. If your application takes longer than that, you may need a new exam.
Who Can Perform an IME?
Only IRCC-approved panel physicians can perform this medical examination. These doctors use IRCC’s eMedical system, which sends results directly to the department.
To find a panel physician near you, visit the official IRCC panel physician directory.
How Do You Submit IME Proof with Your PR Application?
Once your IME is complete, your panel physician will give you:
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An Information printout sheet, or
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IMM 1017B Upfront Medical Report form.
Upload one of these documents when submitting your PR application online through the Express Entry Profile Builder.
What Happens If You Don’t Meet the Exemption and Skip the IME?
Failing to include proof of a completed IME will result in application delays or refusal. Since Express Entry applications are time-sensitive (60 days after ITA), it is crucial to book your medical exam as soon as you receive your ITA.
Quick Summary of the New Rule
✅ Old Rule: Complete IME after IRCC requests it.
✅ New Rule: Complete IME upfront after receiving ITA, unless exempt.
✅ IME Validity: 12 months.
✅ Exemption: Previous IME within 5 years + low risk + living in Canada.
How ICC Immigration Can Help You Secure Your Future in Canada
At ICC Immigration, we understand how stressful these changes can be. Missing a step—like forgetting to complete your medical exam—can cost you your PR approval.
Here’s how we make your immigration journey stress-free:
✔ Permanent Residency Applications – We handle Express Entry, Provincial Nominee Programs (PNPs), and other PR pathways, ensuring compliance with all new medical exam requirements.
✔ Work & Study Permits – Want to start with a temporary option? We help you obtain permits that eventually lead to PR.
✔ Family Sponsorships – Reunite with loved ones in Canada through proper sponsorship channels.
✔ Expert Legal Advice – Our experienced team ensures your application is error-free, on time, and fully compliant with IRCC regulations.
Instead of risking delays or rejections, let us help you create a clear path to Permanent Residency in Canada. Avoid the uncertainty of asylum claims—choose a legal and secure route with ICC Immigration.