So, you're thinking about applying for Canadian permanent residence (PR) through Express Entry? Big steps online and lots of forms! A critical part of this process is the Immigration Medical Exam (IME), which you now need to complete before submitting your PR application. But don't worry, we're here to make this easy for you!

As of August 21, 2025, everyone applying through Express Entry will need an upfront IME—unless you meet specific exemptions (like already living in Canada or recently having taken the exam!).

Do you have a medical condition? The good news is that many conditions don’t automatically rule you out. Approval mostly depends on whether your condition impacts public health or creates excessive demand on Canadian healthcare services.

You might be wondering who can perform this exam. Sadly, your family doctor can't do it—you’ll need to choose a doctor from Canada's list of approved practitioners.

The cost of an IME typically ranges from CAD $140 - 180, depending on age and standards at the clinic.

When you go for your exam, make sure to bring a valid ID, medical reports, and any vaccination records. Oh, and remember that the exam itself usually lasts from 30 minutes to a few hours—so be prepared!

Lastly, remember to keep a copy of your results and any documents related to the exam for your records. They may come in handy later! So, are you ready to kickstart your journey to Canada?