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2026 Express Entry: Is a Medical Exam Required?

Canada’s New Medical Exam Requirement for Express Entry: What You Need to Know

Starting August 21, 2025, a significant change will impact those applying for Canadian permanent residence through the Express Entry system. The Immigration, Refugees and Citizenship Canada (IRCC) now mandates an upfront Immigration Medical Exam (IME) for all applicants. This shift is designed to streamline the application process, reducing delays and speeding up decision times.

Key Changes and Implications

Previously, applicants would wait for the IRCC to request a medical exam later in the process. Now, proof of a completed medical exam must accompany your PR application. This proactive measure aims to ensure applications are not held up due to pending medical exams, although it requires applicants to plan and organize this step in advance.

Who is Affected?

This requirement applies to all principal applicants and their family members, even if they are not accompanying them to Canada. The exam is crucial to ensure that applicants do not pose a public health risk or an undue burden on Canada’s healthcare system.

Validity and Compliance

The medical exam is valid for 12 months and must be conducted by an IRCC-approved panel physician. Missing this crucial document could lead to application delays or rejection, so thorough preparation is essential.

Exemptions and Reuse of Results

Some applicants may be exempt from taking a new medical exam. If you reside in Canada, have completed an IME in the last five years, and your results indicated low public health risk, you might be eligible to reuse your previous results.

Steps to Complete Your Medical Exam

  1. Find a Panel Physician: Use Canada.ca to locate an approved doctor.
  2. Book Your Appointment: Contact the clinic directly; personal doctors are not eligible.
  3. Prepare Documents: Bring a passport or government ID, medical records, prescriptions, and any necessary eyewear.
  4. Obtain Proof of Completion: After your exam, secure the Information Printout Sheet or IMM 1017B form for your PR application.

Tips to Avoid Delays

  • Book your exam early to navigate potential wait times at clinics.
  • Ensure all documents are in order before your appointment.
  • Keep track of your exam’s validity, especially if the PR process extends beyond 12 months.

This new requirement underscores the importance of preparation and understanding the immigration process. As Canada continues to refine its immigration policies, staying informed and proactive will be key for those looking to make Canada their new home.

Waiting on Your Immigration Application?

GCMS (Global Case Management System) is the system used by IRCC to track and process all immigration and visa files. GCMS notes include detailed updates, officer comments, and reasons for decisions.

If you’re unsure about your application status, apply GCMS notes to see what’s happening behind the scenes. It’s the most reliable way to understand your file.

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