If you’re preparing your Express Entry application, you might be wondering, What does the Immigration Medical Exam for Express Entry applicants include?

This mandatory step helps IRCC ensure that incoming residents do not pose a health risk to Canadians. The exam also determines if any condition might cause excessive demand on Canada’s healthcare system.

Overview of the Medical Exam

The Immigration Medical Exam (IME) is carried out by a panel physician approved by IRCC. It covers multiple health areas, including physical, mental, and infectious disease screening.

Here’s what typically happens during the exam:

Test or Check	Purpose
Medical History Review	Discuss previous illnesses, surgeries, and medications
Physical Examination	Check height, weight, vision, hearing, heart, and lungs
Chest X-ray	Detect tuberculosis (mandatory for ages 11+)
Blood Tests	Screen for HIV and syphilis
Urine Tests	Identify kidney or urinary issues
Mental Health Evaluation	Assess psychological well-being, if necessary

Upfront Medical Exam Requirement

As of August 21, 2025, all Express Entry candidates must complete an upfront IME before submitting their PR applications. Skipping this step may cause your submission to be rejected or delayed.

Validity and Reuse of Medical Results

• IME results remain valid for 12 months from the exam date.
• If your PR processing exceeds that timeframe, IRCC may ask for a new exam.
• You may reuse a previous IME if it was completed within five years and marked low risk.

What to Bring to Your Appointment?

Make sure you carry:

• Passport or other ID
• Any prior medical reports or prescriptions
• A list of medications
• Eyeglasses or contact lenses (if applicable)

Tip: Eat lightly and stay hydrated before your visit, it helps make blood collection easier.

After the Exam

The panel physician will upload your results directly to IRCC and give you a confirmation document (IMM 1017B or printout sheet). Keep this safe, it’s your proof that the exam was completed.

The process typically takes one to two weeks for IRCC to receive and review results.

To summarize, the Immigration Medical Exam for Express Entry applicants includes a full health check to confirm you meet Canada’s public health standards. It’s an essential part of the PR application and must be completed before submission.

If you need guidance booking your exam or completing your application, ImmigCanada is ready to help. Contact us today and take the next confident step toward your new life in Canada.