According to OB 232
Revised Procedures: In-Canada Medical Examinations for Live-in Caregivers at the Application for Permanent Residence Stage
The following revised procedures supersede the interim in-Canada medical examination instructions outlined in OB 192 and pertain to applications for permanent residence under the LCP for which:
the applicant has been determined to be a member of the live-in caregiver class, and
medical examination instructions have not yet been issued to the applicant.
Effective immediately, officers should only consider requesting that a live-in caregiver complete a medical examination as part of their application for permanent residence under the LCP should the officer have reason to believe that the live-in caregiver has a health condition that is likely to endanger public health or safety, such as active infectious tuberculosis, at the time of their application for permanent residence.
Should an officer have reason to believe that a live-in caregiver applying for permanent residence under the LCP has a health condition that is likely to be a danger to public health or safety under paragraphs 38(1)(a) or (b) of the Immigration and Refugee Protection Act (IRPA), they are to consult with National Headquarters/Case Management Branch (NHQ/CMB) on the details of the case in question for consideration on whether an exemption may be warranted prior to requesting that the applicant complete a medical examination.
This approach will serve to ensure that requests for medical examinations for live-in caregivers applying for permanent residence under the LCP are rare and the exception to the rule, while continuing to protect the health and safety of Canadians.