No More Upfront Medical Exams for Express Entry Applicants, Says IRCC

By Vijay Lala

Published

OTTAWA — According to a recent update on the official website of Immigration, Refugees and Citizenship Canada (IRCC), individuals applying through the Express Entry program will no longer be required to undergo an upfront Immigration Medical Examination (IME) as part of their application starting October 1, 2023.

The Express Entry system, in place since 2015, is a point-based program that selects candidates for permanent residence based on factors such as age, education, work experience, and language skills. Until this update, a pre-submission medical exam was compulsory, often perceived as an unnecessary and prolonged step in the process.

Key Details from the Government’s Update:

  • Medical Examination Post-Invitation: Candidates have been advised to wait for instructions from IRCC before going for their IME.
  • First-Time Applicants: Those entering the Express Entry application process for the first time can now bypass the hurdle of an Immigration Medical Examination (IME) at the outset. Instead, when building their Express Entry profile, they can simply upload a blank document in the medical examination field. Further instructions regarding the medical examination will be provided by the IRCC at a later stage.
  • Applicants with Prior IMEs: A boon for individuals who have previously undergone an IME for reasons such as work or study permits: if they are currently residing in Canada, there’s no need to retake the examination for the permanent residence application. Their previous IME remains valid.

Reactions and Implications:

This change has been received positively by many in the immigration sector. “The previous requirement was a logistical and financial burden for many. This is a more streamlined and compassionate approach,” stated Toronto-based immigration consultant, Imran Khan.

These changes are in line with the government’s intent to make immigration more applicant-friendly and efficient. An updated guideline has been distributed to processing offices, detailing when a medical examination might be necessary.

The Way Forward:

This modification showcases Canada’s intent to make its immigration policies more user-friendly. While it remains to be seen how this plays out in the long run, it’s a marked development in the trajectory of the Express Entry program. Aspiring immigrants are reminded of the continued importance of good health and should be ready for medical evaluations post-ITA. As usual, consulting with immigration professionals is advised for a smooth application process.


For more details and updates, please refer to the official announcement on the IRCC website.

Vijay Lala is the founder and editor-in-chief of Immiboards.com. Dual master's degrees in Political Science and Economics, along with a decade of Canadian immigration research experience, have equipped him with a comprehensive understanding of the complexities of immigration law, policy research, and settlement issues. Linkedin  Twitter


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