If you get an Invitation to Apply (ITA) for permanent residence, one of the things you need to do is a medical exam.
In fact, not only you, but each family member will need to go through it.
Let's go over the details.
Short answer is after you receive invitation to apply (ITA) and before you apply for permanent residence.
When you are going through the Express Entry, at some point you fill in your Express Entry profile and enter the Express Entry pool. If you have enough points, you are then invited to apply for permanent residence. That's when you (and your family) do the medical exams.
Because your invitation to apply (ITA) is good only for 90 days, IRCC recommends that you do it "as soon as you get your invitation to apply".
The main applicant and all family members need to go through a medical exam, even if they are not going to Canada with you.
"Family members", in this context, means:
The exam consists of:
Genitals or rectal area will not be examined.
There might be a need for breasts examination. If that's the case, the doctor will explain you why and how he/she will do it.
Here is a real example of examinations required for my visa application:
The doctor you chose must be an authorized doctor, on the IRCC list of panel physicians.
So you cannot just go to your regular doctor.
To find an authorized doctor on your city, go to the IRCC Panel Physicians List, select your country on the dropdown, and it will show you all the authorized doctors, with their addresses and phone numbers.
Then you just need to call, inform that you need to do the exam for Canada Immigration, and they will know how to guide you.
When you call the clinic to schedule your appointment, they will tell you exactly what you need.
But as a reference, consider this list of items:
There is a system called "eMedical", which doctors might or might not work with it. It is basically a website where doctors can send the results directly to IRCC.
If the doctor you went to uses eMedical, he/she will give you a sheet print out that you must include on your application.
If the doctor doesn't use eMedical, he/she will provide you with the first page of a form called "IMM 1017B (copy to client)", which you must include on your application.
When you schedule the appointment, or during the appointment itself, you can ask if the doctor uses eMedical, so you will know what to expect.
Here is a real example of an e-medical information sheet, from my own process:
Each doctor will have it's own price, so you might want to shop around before picking one.
But in a summary, you will need to pay for the doctor itself, and any other exams needed, like x-rays or blood work.
All payments are made at the doctor/clinic itself.
Usually the exams itself needs only one appointment, which takes around one hour. But that might change depending on extra exams (like x-rays or blood work) that might be requested by the doctor.
Also, consider that availability might be scarce, which means you might not be able to schedule the appointment as soon as you'd like to. If that's the case, you can (and should) look for another doctor on the IRCC Panel Physicians List
The exam basically aims to assess two factors:
So it is a way for IRCC to have some level of control and forecast of immigration impacts on social and health systems demands.
At the time of this review (January 24th, 2021), these are the measures in place regarding Express Entry medical exams and COVID-19:
And these are some considerations regarding COVID-19, not directly related to the medical examination:
Sources / more details:
IRCC - Immigration, Refugees and Citizenship Canada. It is the Canadian Government department responsible for all matters related to immigration.
Express Entry - The process in place to select applicants for some of Canada's immigration programs. In a nutshell, candidates create a profile where they tell their age, skills, language skills, etc., and get a score for it. Every now and then IRCC invites the candidates with highest scores to apply to become permanent residents.
ITA - Invitation To Apply - After you submit your Express Entry profile, if you have enough points, IRCC will invite you to apply for permanent residence. This invitation is called ITA.