One of the last steps you need to take is undergoing a medical exam when asked so by the Canadian embassy. To do this, you need to arrange for an appointment with a designated medical practitioner (DMS). A list of those medical practitioners will be provided to you by the embassy. Check the list for a doctor nearest to where you live.

If there is no Designated Medical Practitioner within 200km. (150 miles) of where you reside, you should contact the nearest Immigration /Visa office for permission to use a local doctor. The Canada Immigration Centre (CIC) can mark on the IMM. 1017 "Permission given to use a local doctor".

The doctor will require all applicants who are over 10 years old to have a chest X-ray. An x-ray is required by children under 10 if there is a history or clinical examination which indicates there is need or if there is evidence of tuberculosis in the family. You will receive instructions from the doctor.

You must take with you to the doctor's office: your passport, your client ID#, your eye glasses, any relevant medical report(s), and four recent passport size photographs showing head and shoulder for each member of the family required to undergo a medical examination.

All costs related to the Medical Examination are your responsibility!

It is possible that you may be asked to take further tests before a final medical decision is made. The costs of these further tests are your responsibility and over and above the cost of the medical examination.

Validity

You can only use your examination results in your application for 12 months from when you had the examination. If you are not admitted to Canada as a permanent resident within this time, you will be required to undergo another examination.

Medical Report Procedures

Medical reports and x-rays for the medical examination become the property of the Canadian Immigration Medical Authorities and cannot be returned to you.

The doctor will not tell you the results of the medical examination. The doctor will let you know if you have a health-related problem.

The designated medical practitioner does not make the final decision. Citizenship and Immigration Canada will make the final decision on whether or not you have passed your medical examination for immigration purposes.

The visa office will tell you in writing if there is a problem with your medical examination.

The issuance of these instructions for the medical examination does not constitute acceptance of your application. You should not make any commitments related to the application until your case has been concluded.

DO NOT DISPOSE OF PROPERTY OR EFFECTS, OR GIVE UP EMPLOYMENT OR ACCOMMODATION OR TAKE OTHER SIMILAR STEPS TOWARDS YOUR PROPOSED MIGRATION OR VISIT UNTIL YOUR APPLICATION HAS BEEN FINALIZED.

It is recommended, and a decided advantage to all applicants, that routine immunizations for all children and adults be initiated or completed before departure for Canada, and where available, immunization records should be brought to Canada. This has many advantages for the applicant. For instance, a number of Canadian provinces require presentation of such records when children or adults enroll in school.

Provisional Approval

When the results of the medical examination have been reviewed, the Immigration Medical Services will inform the Immigration Office dealing with application of the results.

If you and all your family members are healthy and do not pose an undue hardship to the Canadian health system, you will pass the medical exam, which is usually the last step before the Permanent Resident Visa is issued.