Medical Exam FAQs for 2025 PR Applicants | Immigration Express Entry: Immigrating to Canada through the Express Entry system can be life-changing, but many applicants find the medical exam requirements confusing. As of August 21, 2025, Immigration, Refugees and Citizenship Canada (IRCC) requires most candidates to complete an upfront immigration medical exam (IME) as part of their permanent residence (PR) application.
In this guide, we answer the top FAQs about medical exams for Express Entry and explain how they impact your immigration process. Whether you are calculating your CRS points for Express Entry, applying through AAIP Express Entry, or tracking your Canadian immigration score, understanding medical exam rules is essential.
Immigration Express Entry Medical Exam FAQs for 2025
1. Who is exempt from a medical exam?
Not all applicants must complete an IME. You may be exempt if you:
- Already live in Canada;
- Completed an IME in the last 5 years; and
- Were previously assessed as low or no risk to public health and safety.
If you don’t meet all three conditions, a new IME is required.
2. What if I have a medical condition?
Having a medical condition does not automatically mean refusal. IRCC assesses whether your condition:
- Poses a risk to public health or safety; or
- Could cause excessive demand on healthcare or social services.
For 2025, the Excessive Demand Cost Threshold is $135,810 over five years (about $27,162 annually). If your care is expected to exceed this, IRCC may consider you medically inadmissible.
Some applicants may require medical surveillance after arrival (for example, follow-up for tuberculosis).
3. Who can perform my medical exam?
Your family doctor cannot conduct the exam. Only IRCC-approved panel physicians are authorized. You must select from the official list of panel doctors.
4. How much does the IME cost?
Costs vary by country and clinic, but in Canada you can expect:
- Children (0–14): CAD $140–150
- Adults (15–74): CAD $170–180
Additional costs may apply for:
- X-rays, blood tests, or lab work
- Specialist referrals
- Vaccinations (optional but recommended)
Note: Refugees and asylum seekers may have some fees covered.
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5. What documents should I bring?
Prepare these before your appointment:
- Valid passport or government-issued ID
- Medical report form (IMM 1017E or IMM 1020E, if provided)
- 4 passport photos (if the clinic doesn’t use eMedical)
- Medical history, past reports, and medication list
- Eyeglasses or contact lenses
- Vaccination records (COVID-19 and others, if available)
6. What happens during the exam?
There are two main types of IME: Standard and Streamlined.
Standard Exam includes:
- Identity verification and photo capture
- Medical history questionnaire
- Physical exam (height, weight, vision, heart, lungs, abdomen, skin, limb movement)
- Additional tests if needed (X-rays, blood/urine tests, referrals)
Streamlined Exam includes:
- Faster process with similar checks
- Routine screenings depending on age and history
🔹 Important: You may request a chaperone during the exam. You can pause to ask questions if you feel uncomfortable.
7. What happens after the exam?
Your panel physician will:
- Upload your results directly to IRCC via the eMedical system
- Give you a confirmation sheet (printout or IMM 1017B form)
Always keep this confirmation for your PR application.
8. How long does it take?
- Exam duration: 30 minutes to 2 hours, depending on tests.
- Result submission: Usually within 10 days.
- IRCC review: Timelines vary, tied to your PR application.
9. Can I see my results?
Yes. You can request a copy from the clinic. However, once submitted, medical reports become IRCC property and will not be returned. IRCC will only contact you if further details are required.
10. How do I link my IME to my PR application?
After your exam, attach the:
- Information printout sheet, or
- IMM 1017B upfront medical report form
Upload this to the PR portal under the medical exam section.
11. How long is my medical exam valid?
IME results are generally valid for 12 months. If they expire before IRCC makes a decision, you may be asked to redo the exam.
Why is the medical exam important for Express Entry?
Canada wants to ensure that new immigrants do not create excessive pressure on the healthcare system. By completing your IME early and correctly, you prevent unnecessary delays in your PR application.
This requirement applies across programs, including:
- Federal Skilled Worker Program (FSWP)
- Canadian Experience Class (CEC)
- Provincial Nominee Programs (PNPs) such as AAIP Express Entry
The immigration express entry medical exam is a crucial step for all PR applicants in 2025. By knowing the process, preparing documents in advance, and working with IRCC-approved physicians, you can avoid delays.
If you are unsure about your eligibility, CRS points, or Canadian immigration score, consult with an experienced immigration representative.
📍 Vlink Immigration, Edmonton, AB is here to guide you every step of the way.