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Changes in Express Entry: No Upfront Medical Examination Required


October 7th, 2023 at 05:48 am

Changes in Express Entry: Upfront Medical Examination No Longer Required

Immigration, Refugees, and Citizenship Canada (IRCC) recently made a substantial adjustment to the Express Entry application procedure. From October 1st, 2023, candidates are no longer required to undergo an upfront medical examination before filing an Express Entry application for permanent residence.

A medical examination by a panel physician or an Immigrant Medical Exam (IME) is a typical requirement for petitions for permanent residency.

If you have never had an IME, you can now upload a blank document in the Express Entry profile builder’s upload area during the application submission process. Following that, IRCC will send you details on how to schedule your medical examination.

If you have already completed an IME for a reason other than immigration, such as a job or study, and you are already residing in Canada, you do not need to undertake another one when applying for permanent residency.

An Overview of the IME

During the process of applying for permanent residency in Canada, you and all of your family members are required to go through the Immigrant Medical Exam (IME), even if they do not intend to move to Canada with you.

It is important to keep in mind that your personal physician will not be allowed to carry out the medical examination. Instead, you are required to choose a doctor from the list of specialists that has been approved by the IRCC.

It is of the utmost importance that you are aware that the doctor serving on the panel does not have the ultimate say over the conclusion of your medical evaluation. The IRCC continues to hold the ultimate authority in this situation. The Immigration and Refugee Board of Canada (IRCC) has the discretion to deny your application for permanent residency if it feels that your health poses a threat to Canada’s public health or safety, or if it would place an unreasonable burden on the country’s social or healthcare services. This highlights how important it is to satisfy the health conditions set forth by the IRCC in order to maintain your immigration status.

Immigrant Medical Examination (IME) Requirement

Historically, people seeking permanent residency in Canada were required to undergo an Immigrant Medical Exam (IME) conducted by a panel physician. This medical examination assures that the candidate is in good health and will not endanger Canadian public health.

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New Express Entry Application Procedure

Express Entry applicants now have options based on their previous medical examination history under the updated procedure:

No previous IME.

If you have never completed an IME previously, you can now submit a blank document in the Express Entry profile builder’s upload area when submitting your application. IRCC will then send you instructions on when and how to schedule your medical examination.

Previous IME

If you have previously done an IME as part of another application, such as a work or study visa, and are presently residing in Canada, you do not need to do so again while applying for permanent residence.

Panel Physicians’ Roles

It is vital to remember that the medical evaluation must be performed by an IRCC-approved panel physician. Applicants are not permitted to utilize their own doctors for this assessment. The panelist does a medical examination while thoroughly reviewing the patient’s medical history and tests.

What Should You Bring to the Medical Exam?

You will need to bring the following items to your medical appointment:

  • Legitimate Identification: As part of the medical examination process, you must produce acceptable and legitimate identification documents.
  • Contact lenses or spectacles (if applicable): If you wear glasses or contact lenses to correct your eyesight, bring them with you to the physical.
  • Test results and medical reports: If you have any prior or present medical issues, please supply relevant medical reports or test results for an accurate health evaluation.
  • Current Medication List: Make a detailed list of all your current prescription, OTC, and dietary supplement medications. This enables the panel doctor to completely understand your medical history.
  • Medical Report Form: If you do not have an initial medical checkup, the assessment may require you to fill out a vital Medical Report form.
  • Recent Photographs: If the panel physician does not use eMedical, you may be requested to provide four recent photographs as part of the medical exam record.
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It is common practice for the physical examination to include a comprehensive medical history questionnaire that inquires about both past and current medical issues. In addition, a physical examination is carried out, and depending on your age, additional testing such as blood draws and chest X-rays may be necessary.

You are required to bring cash or a credit card to cover the full cost of the medical checkup. Your physician will send you a confirmation of your scheduled medical examination via email once he or she has the test findings in hand.

Please keep in mind that the findings of your medical checkup are only good for one year after they have been reported to you. It is possible that you will be asked to have a second medical test if you do not become a permanent resident of Canada within the allotted amount of time.

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Financial accountability

All fees related to the medical examination are the responsibility of the applicants. The payments must be paid directly to the panel doctor by the candidate. Following the completion of the full medical examination, the panelist distributes a paper confirming the process’s completion.

Medical Exam Results Validity

The medical examination is valid for one year. If the candidate does not immigrate to Canada within the term specified, they may be required to retake the medical examination.

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