August 21, 2025
As of August 21, 2025, Express Entry applicants are required to provide an upfront medical examination at the time of their application for permanent residence. The Express Entry completeness check instructions and the issuing instructions for medical examinations have been updated accordingly.
As the department transitions back to the upfront medical requirement, we expect to receive some applications in the interim without medical examinations. The processing office should not reject these applications as incomplete.
Updated instructions
Email