Starting August 21, 2025, Immigration, Refugees and Citizenship Canada (IRCC) has made an important change to the Express Entry permanent residence (PR) process. From now on, most applicants must complete an upfront Immigration Medical Exam (IME) before submitting their PR application.
As someone who went through this journey as an immigrant, I know how critical it is not to miss details like this. A small oversight can delay your Canadian dream for months. Here’s everything you need to know about the new rule explained simply.
What Changed in 2025?
Before August 21, 2025 → You could wait for IRCC to request your medical after applying. Now (after August 21, 2025) → You must submit your medical exam upfront with your PR file.
This means applicants must be proactive and book their IME with an approved physician before final submission.
All applicants, along with their immediate family members including spouses or common-law partners, dependent children, and even the dependent children of those dependents—must complete an Immigration Medical Exam (IME), regardless of whether the family members are accompanying them to Canada or not.
Who is Exempt from the New Rule?
You don’t need a new medical exam if you:
- Had a valid IME in the last 5 years.
- Your previous IME showed you were low or no risk to public health.
- You are already living in Canada.
Tip: Even if you think you’re exempt, always double-check with IRCC. Upload proof of your previous IME (printout sheet, IMM 1017B, or IME number).
What Applicants Need to Do Now
Step 1 – Find an Approved Panel Physician
Only IRCC-approved panel physicians can conduct medicals.
Step 2 – Complete the Medical Exam
The doctor will give you either:
- IMM 1017B Upfront Medical Report form, OR
- An information printout sheet.
Upload this to your Express Entry Profile Builder.
Step 3 – Remember the Validity
- Medical exams are valid for 12 months.
- If your PR processing takes longer, you may need a new exam.
Why This Step Matters for PR Success
From my own immigrant journey, I’ve learned: attention to detail is everything in PR applications.
- Missing the medical exam = delays or possible refusal.
- Submitting it upfront = faster, smoother processing.
How Medical Exam Impacts PR
Processing Time Comparison (Before vs After Rule Change)
- Before 2025 → Avg. PR medical request added 2–4 months.
- After 2025 → Upfront exams reduce delays, helping files move faster.
Exempt vs. Non-Exempt Applicants
- 60% of new Express Entry applicants → need new IME.
- 40% → may qualify for exemption (recent IME ).
Conclusion
The new medical exam requirement may feel like an added step, but it’s actually your shortcut to a faster PR decision. Submitting your medical upfront shows IRCC that you’re ready, organized, and serious about building your future in Canada.
As an immigrant who has been through this journey, I can assure you: small details make a big difference. Don’t overlook this requirement — it could save you months of waiting and stress.