Important Update: Medical Exams for Express Entry Applications 2025

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Immigration, Refugees and Citizenship Canada (IRCC) has announced a significant update to the medical examination process, effective for new applicants starting August 21, 2025. Now, candidates applying for permanent residence through Express Entry need to clear medical exams before submitting the application.
What’s Changing?
Previously, Express Entry applicants would first submit their permanent residence application. After submission, they would wait for a request from IRCC to complete their immigration medical exam (IME). The new rule flips this process, requiring an upfront medical exam for all Express Entry permanent residence applications.
This means you must complete your medical exam before you submit your application for permanent residence. This change aims to streamline the process for IRCC and applicants alike.
Who Needs a Medical Exam?
To be medically admissible to Canada, you, the principal applicant, and all your accompanying family members must undergo an IME. IRCC requires these exams to be conducted by an approved panel physician.
You are responsible for scheduling and paying for these exams. Costs typically range from $140 to $280 per person, so make sure you factor this into your financial planning.
Does This Affect Me?
This new requirement specifically targets new Express Entry permanent residence applications submitted on or after August 21, 2025. If you submitted your application before this date, you will follow the old process and wait for IRCC’s instructions.
The new rule also does not apply to other permanent residence applications outside of Express Entry.
What If I’ve Had an Exam Before?
If you are already in Canada and have had an IME within the last five years for another immigration application (such as a work or study permit), IRCC may be able to use your previous exam results. You can provide the IME number with your permanent residence application. IRCC will review the previous results and decide if a new exam is necessary.
This is a key detail that could save some applicants both time and money.
Final Thoughts
This change in procedure for medical exams is an important detail for prospective Express Entry applicants. Plan ahead, book your medical exam in advance of your application, and ensure all your documents are in order for a smooth application process.
Don’t Go It Alone — We’re Here to Help!
This change emphasizes the importance of a well-prepared and complete application package. The best way to ensure your application is successful is to be fully informed and proactive.
Uncertain about the new requirements or how to proceed? Contact us today for a personalized consultation. We can create a clear action plan for your Express Entry application and help you navigate every step of the process with confidence.