Canada’s Express Entry To Require Upfront Medical Effective August 21

Canada Medical Test Update - August 2025

Canada to require medical exams for Express Entry Permanent Residence applicants starting August 21, 2025

Canada PR Upfront Medical Test Update 2025: Effective August 21, 2025, Immigration, Refugees and Citizenship Canada (IRCC) will reinstate the requirement for upfront medical examinations for foreign nationals applying for permanent residence through Express Entry.

This new change in medical exam requirement marks a significant shift from the previous process!


This update requires all applicants for permanent residence (PR) through Express Entry, along with their family members, to complete an upfront Immigration Medical Exam (IME) before submitting their application.

This new change in medical exam requirement marks a significant shift from the previous process, where applicants were instructed to wait for IRCC’s guidance post-submission to schedule their medical exam

Immigration medical exam process

Medical exams must be conducted by IRCC-approved panel physicians. Applicants can find a list of these doctors on the IRCC website, select their country, and book an appointment directly.

The exam cost generally ranges from INR 8200 per Adults. Applicants must also cover any additional fees for tests, treatments, or specialist visits.

Kid’s: Above 5 Years – INR 3900

Kid’s: Below 5 Years – INR 3700

The exam typically includes:

  • Review of medical history (surgeries, chronic illnesses, treatments)
  • Full physical examination (heart, lungs, eyes, etc.)
  • Chest X-rays to check for diseases like tuberculosis
  • Blood and urine tests
  • Mental health assessments
  • Verification of immunization records

Applicants should bring identification documents, four recent photos, medication lists, medical reports, and vaccination proof to their exam.


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