Back to Upfront Medical
Canada immigration medical rules for Express Entry have shifted back to upfront exams. If you receive an Invitation to Apply on or after August 21, 2025, you must complete an upfront Immigration Medical Exam and upload proof with your e‑APR. If you are in Canada and completed a Canada immigration medical within the last five years (for a work or study permit, for example), include your IME number or unique medical identifier when you submit; if IRCC cannot reuse it, they will issue instructions after filing. If you have never had a Canada immigration medical, book with a panel physician and complete it only after you receive the ITA.
Some Exceptions: Inside Canada Applicants
Practical nuance matters. In‑Canada applicants with a valid Canada immigration medical from the past five years may benefit from reuse; those outside Canada typically need a fresh upfront exam for Express Entry. Some eligible, low‑risk applicants in Canada continue to benefit from streamlined medical requirements under IRCC policy through October 2029, but that relief is narrow and fact‑specific. Do not gamble your e‑APR on assumptions—documents must align precisely with the new upfront requirement and your physical location at the time of filing.
Seek Help or Advice If Needed
Move with precision; Canada’s immigration department demands no less, and you deserve an application optimized for success and fewer delays. For a tailored plan on your Canada immigration exam, including whether your prior IME can be reused, how to book a compliant panel physician exam, and exactly what to upload in your Express Entry profile, contact Chaudhary Law Office now. We will audit your history, confirm eligibility under the updated rules, and lock in a filing strategy that protects your timeline and your invitation.