Wiki · Permanent residence

Immigration medical examination

The panel-physician exam IRCC uses for medical admissibility.

This site does not collect a UCI, an application number, or an upload.

  • Official sources
  • RED VERIFIED
  • Practice judgment
  • Independent of IRCC

On the official record

Official / RED VERIFIED

For Express Entry, IRCC says get the exam after the ITA and before you apply. That is an upfront medical exam. Only a panel physician can do it. Your own doctor cannot.

The completeness PDI treats medical confirmation as a mandatory upfront document, with printed transition rules for older files and a temporary public policy for some in-Canada applicants until 5 Oct 2029. Results are valid for 12 months on the PR medical page.

Source: IRCC: Medical examination for permanent residence applicants · official page Aug 4, 2026 · checked Aug 21, 2026

Source: IRCC PDI: Express Entry completeness check · official page Jan 23, 2026 · checked Aug 21, 2026 · If a public page and this PDI disagree, this PDI wins.

Source: IRCC: Apply for permanent residence through Express Entry · official page Jun 22, 2026 · checked Aug 21, 2026

Practice judgment

Practice judgment

If the public apply page and the completeness PDI disagree on whether an IME must be in the eAPR, the PDI wins.

An IME is not a family-doctor checkup and not an approval of the PR file. A medical concern that becomes a procedural fairness letter is a different problem.

Labelled judgment. Not the official rule. Not legal advice.

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