Exciting changes are coming for those applying for permanent residency in Canada through Express Entry! Starting August 21, 2025, you’ll need to submit your medical exams upfront as part of your application. This means no more waiting for instructions from Immigration, Refugees, and Citizenship Canada (IRCC) after submitting your application!

So, what does this mean for you? If you’re planning on applying before the new requirement kicks in, rest assured that your application will follow the old guidelines and won’t be affected. Just keep your medical records handy, as medical admissibility will still be key—in other words, you’ll need to ensure that you and your family members are in good health.

For those who might be concerned about what this involves, medical exams will be conducted by IRCC-approved physicians, and you’ll need to cover the costs, which can range from $140 to $280. Remember to gather your current medications and any relevant medical documents before your appointment!

If you have any existing chronic conditions, showcasing that they are managed well can help you avoid any issues with medical admissibility. And if you've had a medical exam for a different permit in the last five years, you might not have to undergo another one.