Only medical request. Nothing else. The first page is like this:
examination results are now required. Please read these instructions carefully.
When to complete your Immigration Medical Examination
You are required to undergo the medical examination within 30 days of the date of this letter. Failure to do so may
result in the refusal of your immigration application.
Who may complete your Immigration Medical Examination
Your medical examination must be performed by a doctor from the IRCC list of Panel Physicians. The list of Panel
Physicians to find a doctor in your area:
How to complete your Immigration Medical Examination
Book an appointment with a Panel Physician in your area as soon as possible. If you are unable to complete your
medical examination within the 30 day timeframe provided, it is your responsibility to inform the IRCC office
responsible for processing your application as soon as possible.
Once your medical examination has been completed the Panel Physician will submit medical results to IRCC for
assessment. To obtain a copy of your Immigration Medical Examination please ask the panel physician at the time of
your appointment.
Paying for your Immigration Medical Examination
Any costs related to the medical examination are your responsibility and are payable to the Panel Physician at the time
of the examination. This payment is for the Panel Physician’s services and cannot be refunded even if your
immigration application is refused or the validity period of your immigration medical examination expires.
Note: If you received an Interim Federal Health Program (IFHP) Certificate from IRCC, the costs related to your
immigration medical examination will be covered by the IFHP. Please confirm with the Panel Physician in your
area if they accept the Interim Federal Health Program (IFHP) Certificate.
What must I bring to my appointment?
IMPORTANT: If you have a previous or existing medical condition, bring any medical reports, test results or
prescriptions that you may have with you to your appointment. This may help reduce the time it takes for your
application to be processed.
• The attached Medical Report form (IMM1017E)
• Identification, including your passport if one is available. Proof of identity must include at least one
government-issued document with photograph and signature, such as a passport or driver’s license.
• Eye glasses or contact lenses, if worn
• Four recent photographs. You will need to bring these only if the doctor you select from the list of panel
physicians does not work with IRCC via the eMedical system. Please check with the doctor’s office when you
book your appointment
• Interim Federal Health Certificate (IMM 5695) – for individuals eligible for coverage under the Interim
Federal Health Program (IFHP)
And on the second page is your personal information