Yes, you can likely reuse your work permit medical exam for your permanent residence (PR) application, provided you meet specific conditions under Immigration, Refugees and Citizenship Canada (IRCC) rules.
The final decision rests with the IRCC officer reviewing your case. If an officer feels they need updated bloodwork, a new chest X-ray, or a closer look at a minor health condition to rule out long-term "excessive demand" on the healthcare system, they have the authority to request a new medical exam.
