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Aug 15, 2019
All applicants seeking permanent residence in Canada, and certain applicants applying for temporary residence, are required to complete an immigration medical examination.
Conducting an Immigration Medical Examination.

In conducting a Canadian immigration medical examination, the DMP performing the examination will undertake the some important following activities.

• Provide a routine appointment for Canadian IMEs
• Verify that the person presenting for examination is the person pictured in Medical Report and ensure that the applicant, or parent/guardian, completes and signs Medical Report
• Carefully review and provide details on the applicant's responses to the questions regarding functional inquiry in Medical Report: Section B (IMM 5419).
• Perform a comprehensive physical and mental examination.

• Provide appropriate age-defined laboratory investigations /Laboratory Requisition
a. urinalysis (protein, glucose and blood by dipstick—if blood positive, then microscopic report required) for applicants five years and over;
b. serological test for syphilis for applicants 15 years and over.

• HIV testing for applicants 15 years of age and over, as well as for those children who have received blood or blood products, have a known HIV-positive mother, or have an identified risk. An ELISA HIV screening test should be done forHIV 1 ,2
• Serum creatinine if the applicant has hypertension (resting blood pressure greater than 140/90 mm Hg), a history of treated hypertension, diabetes, autoimmune disorder, persistent proteinuria, or kidney disorder.
Provide an adequately labeled postero-anterior chest x-ray film for applicants 11 years and older, and for those under 11 years of age if there is any relevant history or clinical.
• Have the radiologist complete the Chest X-ray Interpretation, the Record of Special Findings Noted.Unless otherwise advised, ensure that the radiologist provides the labeled image of the chest x-ray either on CD (in an envelope, not a jewel case) or film.
• Ensure that the radiologist provides sufficient detail in the examination report to substantiate a definitive diagnosis or a requirement for additional investigation.
• Complete a summary of abnormalities and provide an opinion as to prognosis in the summary blocks of Medical Report: Section A (IMM 1017) and Section C (IMM 5419) for each applicant based on the history, mental/physical examination and diagnostic tests.
• Collate the completed Medical Report forms (in order) with laboratory reports and chest x-ray(s), and then arrange for the direct and timely transmission of these documents, by mail or courier, to the RMO

Additional/Supplementary Tests

• Provide or arrange for the provision of such supplementary reports or diagnostic tests as may be requested or required by standing instructions issued by a CIC medical officer. These supplementary reports and/or diagnostic tests should be sent directly from the laboratory or consultant to the DMP for collation and transmission to the RMO.
• Personally conduct all clinical activities with respect to the medical examination of the applicant. When further medical reports are requested by a medical officer, these reports must be provided by a specialist of the DMP's choosing. Reports provided by a physician of the applicant's choosing are not acceptable, although the applicant's previous medical records can be provided in addition to the currently requested report.
o Specialists or consultants preparing additional reports requested as part of the IME should be advised that their reports should be objective, detailed and limited to the question posed. They should not include comments about their impressions regarding suitability for immigration or fitness for travel.
o These reports should be complete and contain a thorough clinical review, discussion and interpretation of clinical findings. Prognostic determination should be based on the anticipated clinical course and likely need for intervention or treatment (medical and/or surgical) over the following several (five) years.
o It is the DMP's responsibility to select specialists and consultants who are able and willing to provide complete reports.

Medical Exam Tips

Some simple Medical Exam Tips to help you get the best results
(Note. Consult your doctor before following the tips)

Be in reasonably good physical condition. If you have high blood pressure, diabetes or high cholesterol or if you are required to undergo for a surgery let these things fixed and under control prior to exam.
Be prepared to answer all questions honestly to the best of your knowledge. Honesty is both asked for and appreciated
Don't drink any alcohol at least 72 hours before the exam.
Practice a healthy diet the week prior to your medical exam. Minimize the use of salt and avoid excess fatty, greasy, heavy or generally unhealthy foods before the exam
Limit intake of caffeine ,black tea.
Avoid to use pain killers unnecessary.(ask your doctor)
Avoid strenuous activities including jogging, weight lifting or swimming.
Do not smoke or chew tobacco.
Get a good night's sleep.
Consider scheduling your exam in the morning, preferably upon waking, your body is most relaxed in the morning.
Be at DMP office about 30 minutes early
Make sure that you are clean and well-groomed for the physical exam. It can make it more difficult for a doctor to accurately check you out if you are much less than clean. For example, the condition of your fingernails can tell a doctor something about your bone health, but it can be hard to tell if your nails are mistreated and dirty
Spend a few days before your exam as stress-free as possible. Try to take it easy and to relax.. Take the time while waiting at the doctor's office to calm yourself and distress. Take a few deep breaths, chew gum, read, anything to help you relax. You're likely to have a blood pressure and heart rate that is closer to normal.
I had a ceaseian in 2012 but i was in another country and have no access to the reports what should I do?

Fouzia Akbar

Jan 22, 2020
Functional inquiry guidance(IMM 5419 – Section B)

With related Canadavisa forums threads


When the applicant has had an operation or hospital treatment, the details from the applicant should include the date and reason for the admission and/or the operative procedure that was done and pathology reports if available.
If the applicant is NOT excessive demand exempt, the discharge summary and any pathology report from admissions for serious illnesses within the last 5 years should be included if available. For all neoclassic disease treated within the past five (5) years, the relevant operative and pathology reports, with a current specialist's report, are always required.


With a history of convulsions, blackouts, or epilepsy, the details from the applicant should include the type of disorder, the age of onset, any precipitating factors, current drugs taken, and the frequency of attacks, severity and squeal


With a history of mental illness, which might include depression, psychosis, schizophrenia, eating disorders, or drug and alcohol abuse, the details should include the specific diagnosis, with details of the type and duration of treatment
any history of non-compliance with treatment or of relapses, and an assessment of potential for self-harm or harm to other



If there is a history of hypertension, the details obtained from the applicant should include date of diagnosis, current treatment, and whether there is, or there is not,any history of renal, cardiovascular or cerebrovascular disease.
If there is a history of ischemic heart disease, the details obtained from the applicant should include date of diagnosis, current treatment, the frequency of angina, and the activities that provoke angina. If there is a history of congestive heart failure, the details obtained from the applicant should include date of diagnosis, current treatment, and current symptoms.
If there is a history of lung disease, such as pulmonary fibrosis, asthma, COPD, orchronic cough, the details obtained from the applicant should include history of
symptoms, current treatment, and current impact of the respiratory disease on
occupational and leisure activities.


5: Recurrent or chronic joint pain

With a history of chronic recurrent muscular pain, arthritis or joint pain, the details from the applicant should include the severity of pain at rest and in motion, any functional limitations in activities of daily living, the distance that the applicant is able to walk, and the medications that are used.

6: Digestion problems, stomach pains, etc.

Any applicant who gives a positive history should undergo additional questioning to determine cause. Attention should be given to those with chronic, persistent or recurrent symptoms (weight loss or gain, gastrointestinal bleeding, varices, for example).


When there is a past history of tuberculosis, the details from the applicant should include the date of diagnosis, duration and type of treatment. In all applicants,whether excessive demand exempt or not, copies of previous treatment reports, xrays, and other relevant information should be obtained if possible. If there is any suspicion of tuberculosis, history, clinical, bacteriological and radiological examination will determine the activity of the disease.Where there is an abnormal chest film but no history of previous active tuberculosis or there is a history of previous tuberculosis with or without previous adequate treatment, the case will be furthered until:
a minimum of two chest films, taken at a minimum interval of three (3)months, have a stable appearance and;
three sputum cultures taken at least 24 hours apart, examined for acid-fast bacteria (smear), and incubated for 6 to 8 weeks for tubercle bacilli by standardculture methods are negative.

Sir what about down syndrome child madical?what is the chance of immigration?


Feb 1, 2020
I am 37 and received IRCC Medical Request two weeks ago, and went to medical - my BP was 146/87 although I do not have hypertension. The problem is that I am 172cm in height and weight is 94kg which means overweight. I am worried that considering my weight and the recorded BP, they might think that I will have heart problem, although I'm generally healthy. Has anyone passed through this issue? The Panel Physician still did not upload the results. Should I get extra report from a government hospital and give it to the doctor before uploading my results on eMedical?


Star Member
Jun 25, 2020
I have started PR process in Canada based on skill worker category.
Have Master Degree with 10 Years IT experience. I have Kidney chronic disease at stage 3 for past 10 years, but I am doing good with stable health, and My creatine is fluctuating between 2.2 to 3 for last few years.
Is there any possibility in my case to get PR, can I continue the process.

I appreciate your response, Thank you.
Did you get the medical pass and get the visa? Your reply would be appreciated


Star Member
May 28, 2020
Hello everyone! Today is a Saturday and I'm planning to undergo upfront medical exam next Sat. However, I'm still thinking if I should push for next week given the ff.:
1. I'm on my 2nd day of period today
2. I took Advil liquid gel (400mg) because of my headache

Do you think it's okay to push next week or move my medical at a later date? I was hoping to get my medical done before Christmas so I could enjoy more food :confused: TIA!


Full Member
Aug 23, 2019
Guys, I have a surgical implant in my collar-bone, which will always be there for lifetime. Will it create problem in my Canada Medical as they will do chest x-ray and this will come


Dec 26, 2020
Hi I had seen in some of the blogs that , radiologist found thyroid enlargement/ cyst during Chest X ray , but in some blogs I read that thyroid test not required for Canada migration medical exam.please clarify


Star Member
Dec 6, 2018
Visa Office......
NOC Code......
Guys, I have a surgical implant in my collar-bone, which will always be there for lifetime. Will it create problem in my Canada Medical as they will do chest x-ray and this will come
I don't think so, you should just declare it. The chest X-ray is mainly to check Tuberculosis
Jan 16, 2021
Hello All,

I want to Pursue Master Program in Canada, I am 23 years old and I have a Heart Surgery 10 year Back when I was 8 years old, My Condition is as Healthy as another Adult, I don't have any disease, So does I get any problems in my visa or my PR application.


Feb 25, 2017
Hello guys,

I have question for parent sponsor medical exam. If my mom has knee joint problem does it cause any reason to medical inadmissibility and medical test failed? Is it better to do knee replacement operation before medical exam?


Feb 25, 2017
Hello guys,

I have question for parent sponsor medical exam. If my mom has knee joint problem does it cause any reason to medical inadmissibility and medical test failed? Is it better to do knee replacement operation before medical exam?
She has Osteoarthritis. This is very common in older age. Does this condition make it medical inadmissibility?