- You work in jobs which bring you into close contact with people, such as:
- Workers in health-care settings
- Clinical laboratory workers
- Patient attendants in nursing and geriatric homes
- Medical electives and physicians on short-term locums
- Workers in primary or secondary school settings, or workers in child-care settings
- Domestics
- Workers who give in-home care to children, the elderly and the disabled
- Day nursery employees and
- Other similar jobs
- You are a medical student.
- You will work in agriculture and have lived in a designated country for more than 6 months in the past year.
This is required even if your position is unpaid. See the list of example occupations.
Even if you do not work directly with vulnerable populations, you might require a medical exam based on your place of work, no matter what your position is. For example in-person positions in a hospital (even if you do not directly care for patients, such as research, administrative, or janitorial positions) or in a daycare (even if you do not directly care for children, such as administrative positions).
If you are unsure, contact International Student Advising for support before starting your position.
When to complete the medical exam
If you will likely work in these kinds of positions, or you would like to keep your options open, it is best to complete the medical exam before you apply for your study or work permit. It’s also possible to take the medical exam after you have received your study or work permit, then apply to change the conditions on your permit afterwards.
Whether you complete your medical exam with your initial permit application or at a later date, you will need to wait for your application to be processed.
You cannot start the position until you have received a study or work permit with the appropriate conditions.
When you may not need a medical exam
If you previously completed a medical exam with your initial study permit and don’t have a restrictive condition, such as “Not authorized to work in childcare, primary/secondary school teaching, health service field occupations”, you would not need to complete another medical exam during the validity of your current study permit unless you lived in one or more of these countries or territories for at least 6 months in a row within the last year.
For your next study or work permit application, if you took your medical exam within the past 12 months, it is still valid and you can upload the same e-medical. If you completed a medical exam in the past 5 years, you might be eligible for a temporary medical exam policy which has been extended to October 5, 2029. Normally you would need to complete another medical exam for your next study or work permit application, however with this temporary policy you can use a medical exam from the past 5 years without taking another exam. When you prepare your study or work permit application, answer yes to the question in the questionnaire about medical exams, upload your most recent e-medical from the past 5 years, and include a request in your letter of explanation to have the right conditions on your study/work permit to work in jobs that require medical exams. The officer who reviews your application will make the final decision and could request a medical exam. You’ll need to wait to receive your new study/work permit to confirm it has the correct conditions.
Contact International Student Advising for support if you’ve lived in one or more of these countries or territories for at least 6 months in a row since your last medical exam.
Medical exam requirements
You must book an appointment with an IRCC-approved panel physician, who will send your results to IRCC. Ask the doctor for a copy of your medical exam report, also known as your “e-medical”, and submit it with your study or work permit application. Your medical exam results are valid for 12 months from the date of your exam, or you might be eligible for the temporary policy where you can use a medical exam from the past 5 years (check previous section).
Include a letter of explanation asking specifically for your work permit to indicate that you may work in these occupations. Upload this in “Client Information” under Optional Documents.
