The answer depends on your immigration pathway, how long you expect your application to take, and your confidence in receiving and accepting an Invitation to Apply (ITA). Completing your medical exam early can help streamline processing; however, doing it too soon may create complications if the application process takes longer than initially expected.
Understanding the Express Entry Medical Exam Requirement
If your immigration pathway is Express Entry, most applicants must complete an immigration medical exam conducted by an IRCC-approved panel physician.
The exam is designed to identify:
- Conditions that could pose a danger to public health or public safety
- Medical conditions that may require further assessment
- Certain communicable diseases, such as tuberculosis
- Significant health concerns that require additional testing
The medical exam follows IRCC protocols and must be completed by a panel physician authorized by the Government of Canada. Once the examination is complete, your results are submitted electronically to IRCC.
Upfront Medical Exam
An upfront medical exam is typically completed before IRCC requests it. Some applicants choose this option to have it completed early and potentially avoid any delays later in the application process.
Requested Medical Exam
IRCC will request a medical exam to be completed as part of the application process. This approach will address what actually needs to be covered and whether any additional testing is required, preserving more of the exam's 12-month validity.
For a detailed explanation of the differences between the two types of exams, read our previous blog: Upfront Medical Exam vs. Requested Exam: Which One Do You Need?.
The 12-Month Validity Rule
When booking your medical exam, understanding the validity can be one of the most important factors.
In most cases, immigration medical exam results are valid for 12 months from the date of the examination.
Your permanent resident visa or Confirmation of Permanent Residence (COPR) generally cannot be issued beyond the validity period of your medical results.
Consider the following example as to why this matters:
- Medical exam completed: January 1
- ITA received: June 15
- eAPR submitted: August 10
- Processing delays occur
- Application finalized: February of the following year
In this scenario, the medical results may be nearing expiration before final approval can be issued. If the validity period expires, IRCC may need updated medical information.
The Biggest Risk of Doing the Medical Exam Too Early
Many applicants proceed to enter the Express Entry pool months before receiving an ITA.
Completing your medical exam immediately after entering the pool would trigger the 12-month clock even though your application has not yet been submitted.
Some of the potential consequences include:
- Medical validity expires before application completion
- IRCC requests a new examination
- Additional costs
- Additional appointments
- Potential processing delays
Applicants whose Comprehensive Ranking System (CRS) score is near recent draw cutoffs for this is extremely relevant.
Understanding the 60-Day ITA Window
Once an Invitation to Apply has been received, you generally have 60 days to submit your electronic application for Permanent Residence (PR).
Scenario 1: Medical Exam Before ITA
By completing your medical exam before receiving an ITA, your application may be ready sooner, you can submit quickly after receiving the ITA, and less scheduling pressure exists during the 60 days.
You have to remember that the validity clock has already started from the date of the examination.
Scenario 2: Medical Exam After ITA
Many applicants prefer to book and complete their medical exam immediately after receiving an ITA.
The benefits of completing a medical exam after you have received an ITA include:
- Better use of the 12-month validity period
- Reduced risk of expiration
- More certainty that the application will actually be submitted
You should also be aware that appointment availability can vary depending on location and time of year.
When Re-Medicals May Be Required
A re-medical often refers to a new immigration medical examination requested after the original results have expired or become insufficient for a final decision.
Processing Extends Beyond 12 Months: The most common reason is simply that the application takes longer than anticipated.
Security or Background Delays: Even if your medical assessment is straightforward, additional background checks can delay final decision approval beyond medical validity.
Family Member Delays: Dependent processing issues can occasionally affect overall application timing.
Applicants may require:
- Specialist assessments
- Tuberculosis surveillance
- Additional diagnostic testing
Applicants may experience longer processing times due to additional medical tests.
Timing Considerations for Canadian Experience Class (CEC) Applicants
CEC applicants often have advantages that can help with medical timing.
Applicants using this pathway typically:
- Already live in Canada
- Have Canadian work experience
- Have straightforward documentation
- Experience relatively predictable processing timelines
It is recommended that many CEC applicants wait until receiving an ITA, book the medical exam immediately afterward, and submit the application within the 60-day window.
This helps preserve more of the medical validity time period while still avoiding unnecessary delays.
Timing Considerations for Federal Skilled Worker (FSW) Applicants
In addition to the standard requirements, FSW applicants may need to comply with several additional conditions, including:
- International documentation
- Foreign employment verification
- Multiple countries of residence
- Longer background checks in some cases
As processing can sometimes be less predictable, preserving medical validity becomes particularly important.
FSW candidates are generally advised to wait until receiving an ITA before booking the exam. Taking the exam early during the 60-day submission period can help ensure timely results without completing the exam unnecessarily far in advance.
Timing Considerations for Federal Skilled Trades (FST) Applicants
FST applicants might find it beneficial to evaluate the following:
- Expected draw timing
- CRS competitiveness
- Supporting documentation readiness
If receiving an ITA appears likely in the near future, completing an upfront medical exam may help application preparation.
If invitation timing is uncertain, waiting until an ITA is received is often the safer choice.
PNP Express Entry vs. Non-Express Entry PNP
If your immigration pathway is through provincial nominees, you should carefully consider which pathway you are using.
Express Entry-Aligned PNP
Once nominated, candidates usually receive a significant CRS boost, making an ITA highly likely. Because the pathway toward permanent residence is more predictable, an upfront medical exam may make sense in certain situations.
Non-Express Entry PNP
These applications involve different processing timelines and may take longer overall.
Completing a medical exam too early will increase the likelihood that validity expires before finalization. Applicants in these streams should pay attention to timing and seek further guidance if they’re unsure.
