New Health Examination Standards Implemented for Express Entry PR Applicants
September 11, 2025
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Canada has recently introduced updated health examination standards for individuals applying for Permanent Residence (PR) through the Express Entry system. These new rules are part of Immigration, Refugees and Citizenship Canada’s (IRCC) efforts to protect public health, improve efficiency, and ensure that applicants are prepared to settle successfully in Canada.
Why Health Examinations Are Required
All PR applicants must undergo a medical exam to confirm that they do not pose a risk to public health and that their health conditions will not place excessive demand on Canada’s healthcare system. These exams are designed to keep communities safe while ensuring fairness to newcomers who wish to build their lives in Canada.
What Has Changed in the New Standards?
The new health examination standards focus on efficiency and thoroughness. Some key updates include:
- Earlier submission of medical exams: Applicants must complete their medical exam upfront or shortly after receiving an Invitation to Apply (ITA).
- Expanded health checks: The exams now include additional screenings for communicable diseases and health conditions relevant to public safety.
- Standardized documentation: All results must be submitted through IRCC-approved panel physicians using the eMedical system.
Who Must Comply With the New Standards?
The updated requirements apply to all Express Entry PR applicants, including principal applicants, spouses or common-law partners, and dependent children. Even if dependents are not accompanying the applicant to Canada, they still need to complete the medical exam.
What Is Included in the Medical Exam?
The medical exam is carried out by an IRCC-approved panel physician and usually involves:
- Medical history questionnaire and physical examination
- Chest X-ray for tuberculosis screening
- Blood and urine tests
- Additional tests if required based on age or medical history
Physicians then upload the results directly to IRCC, which helps speed up processing.
How Much Do Medical Exams Cost?
Medical exam fees vary by country and provider but typically range from 140 CAD to 280 CAD per person. Applicants should budget for these costs as part of their PR application process. Additional tests, such as X-rays, may involve extra fees.
Tips to Prepare for the Medical Exam
- Book early: Appointments with panel physicians can fill up quickly, so schedule yours as soon as possible after receiving an ITA.
- Bring required documents: These include your passport, medical history, medication lists, and recent photos if requested.
- Follow physician instructions: Depending on your health, you may need to provide additional test results.
Prepare For Your Express Entry Journey
The updated health examination standards for Express Entry PR applicants highlight Canada’s commitment to protecting public health while welcoming newcomers. By preparing early and understanding what is required, applicants can navigate this process smoothly and stay on track toward achieving Permanent Residence in Canada.
FAQs
Do all Express Entry PR applicants need a medical exam?
Yes. All applicants, including spouses and dependent children, must complete a medical exam conducted by an IRCC-approved panel physician.
How long are medical exam results valid?
Medical exam results are valid for 12 months from the date of the exam. If your PR application is not finalized within this time, you may need to repeat the exam.
Can I use my previous medical exam for Express Entry?
In some cases, yes. If you completed an exam within the last five years and were found low-risk, you may be eligible for an exemption. However, most applicants will need to complete a new exam.