Immigration, Refugees and Citizenship Canada (IRCC) has concluded its facilitation period for Express Entry applications submitted without upfront medical examinations. Effective October 21, 2025, applications lacking an immigration medical examination (IME) may be rejected under updated completeness check requirements . This policy shift follows the August 21, 2025, mandate requiring all Express Entry permanent residence applicants to submit medical examinations at the time

Immigration, Refugees and Citizenship Canada (IRCC) announced revisions to its standard immigration medical examination procedures on October 16, 2025. The updated guidelines provide comprehensive protocols for assessing foreign nationals' health conditions, including evaluations for public health risks, public safety concerns, and potential excessive demand on healthcare services. Key components of the routine examination include medical history reviews, physical and mental