October 30, 2026
Every permanent residence application to Canada needs an immigration medical exam, and most students, workers and Super Visa applicants from Pakistan need one too. It is a short appointment, but a missing document or a booking made at the wrong time can hold up your whole application.
A Canada immigration medical exam in Pakistan is carried out by IRCC-approved doctors at IOM centres in Islamabad, Lahore, Karachi and Mirpur. This guide walks you through each step, from booking your appointment and preparing documents to the tests, fees and results.
Canada Immigration Medical Exam: Key Takeaways
- Required for: All PR applicants and their family members, Super Visa applicants, and students and workers staying over 6 months or working in public health roles
- Exam centres: IOM Migration Health Assessment Centres in Islamabad, Lahore, Karachi and Mirpur
- Booking: Through the IOM call centre (051 111 466 472) or online appointment system
- Fee: About Rs. 21,500 to Rs. 37,500 depending on age and city, paid at the centre
- Duration: About 3 to 4 hours
- Deadline: Before submitting an Express Entry PR application, or within 30 days of IRCC’s request for other applications
- Validity: 12 months from the exam date
Who Needs a Canada Immigration Medical Exam?
All permanent residence applicants must complete an immigration medical exam, and so must their spouse or partner and dependent children, even if they are not moving to Canada.
Pakistani applicants also need an exam in these cases:
- Study, work and visitor stays over 6 months: Required if you lived in Pakistan, or another designated country, for at least 6 consecutive months during the year before entering Canada. See our Canada study visa guide.
- Super Visa: Required for every parent and grandparent applying. Read our Canada Super Visa guide.
- Public health jobs: Required for work in health care, clinical labs, long-term care, primary or secondary schools, child care, domestic work or in-home caregiving, regardless of how long you stay or where you lived.
Visitors staying 6 months or less usually do not need an exam.
Exemption for applicants already in Canada: Applicants living in Canada who are applying for PR or temporary residence may be exempt until 5 October 2029 if an exam in the last 5 years showed low or no risk to public health or safety.
Where to Get a Canada Immigration Medical Exam in Pakistan
Canada medical exams in Pakistan are carried out by IRCC panel physicians at four IOM Migration Health Assessment Centres, two in Islamabad and one each in Lahore and Karachi. Reports from family doctors or other hospitals are not accepted.
IOM centre | Address | Phone |
Islamabad (F-10) | 2nd Floor, Maroof International Hospital, F-10 Markaz | 051 8444604 |
Islamabad (G-8) | Ground Floor, Pak Land Square, IDC Building, G-8 Markaz | 051 6120031 |
Lahore | House No. 70-H, Gulberg III, near D-Ground | 042 35863741 |
Karachi | House No. F-14, PECHS Block 6, Shahrah-e-Faisal, near KFC | 021 34385612 |
Source: IOM Pakistan health centre directory, October 2026.
The IOM centre in Mirpur does not offer Canada exams, as it handles UK medical exams only.
How to Book Your Appointment
- Online: Use MyMedical, IOM’s online booking system, through the IOM Pakistan appointments page.
- Phone: Call the IOM call centre on 051 111 466 472.
- Email: Email IOM’s Canadian appointment form, and IOM replies within 2 working days.
Centre hours:
- Monday to Thursday: 8:00 am to 4:45 pm
- Friday: 8:00 am to 12:30 pm
When Should You Take Your Canada Medical Exam?
- Express Entry PR: Since 21 August 2025, complete an upfront exam after receiving your invitation to apply (ITA) and before submitting your PR application. See our guide on what to do after receiving an ITA.
- Super Visa: Complete the exam before applying, since proof of the exam must be included.
- Other PR applications: Wait for IRCC’s medical request after you apply, then complete the exam within 30 days.
- Study and work permits: Take an upfront exam before applying, or wait for IRCC’s request.
Results are valid for 12 months, so schedule an upfront exam close to your application date to avoid needing a second exam.
Documents to Bring to Your Medical Exam
- Identification: Original valid passport and a photocopy, or a clear passport copy with your original CNIC
- Health request letter: IMM 1017E or IMM 1020E with your UCI or IME number (not needed for an upfront exam)
- Medical records: Reports and test results for past or current conditions, and a list of medicines you take
- Glasses or lenses: If you wear them
- Polio certificate: Your valid polio vaccination certificate, which you also need to travel out of Pakistan
- Antenatal card: If you are pregnant
- Children under 16: A parent or legal guardian with proof of relationship, such as the NADRA FRC or the mother’s marriage certificate naming the father
Photos are not needed, as IOM uses IRCC’s eMedical system and takes them at the centre.
Not sure which documents your family needs for the medical? AIRCS Group checks your health request letter, identification and guardian documents before your IOM appointment. Send your query on WhatsApp.
What to Expect During a Canada Immigration Medical Exam
The exam takes about 3 to 4 hours and covers your medical history, a physical examination and tests based on your age. No fasting is needed, you can request a chaperone at any stage, and any vaccinations offered at the centre are voluntary.
Exam Day Steps
- Registration: IOM staff check your identification and health request letter, then take your photo.
- Medical history: You complete a questionnaire about past illnesses, surgeries and current medicines. Disclose every condition, as IOM reports concealment to IRCC.
- Physical examination: A panel physician checks your weight, height, hearing, vision, heart, lungs, abdomen, limbs and skin. You change into a gown but keep your underwear on, and the exam does not include genital or rectal checks.
- Tests: Depending on your age, you give a urine sample, have a chest X-ray and give a blood sample.
- Follow-up, if needed: The physician may ask for extra tests, such as sputum samples, or a specialist consultation.
Medical Tests by Age in Pakistan
Age | Tests |
Under 5 | Physical examination |
5 to 10 | Physical examination and urine test |
11 to 14 | Physical examination, urine test and chest X-ray |
15 and over | Physical examination, urine test, chest X-ray and blood tests |
Source: IOM Pakistan Migration Health Assessment guide for Canada.
Blood tests for applicants aged 15 and over check for HIV, syphilis, hepatitis B and C, and kidney function (serum creatinine). Pregnant applicants can have the chest X-ray with extra shielding or postpone it until after delivery.
Canada Immigration Medical Exam Fees in Pakistan
OM fees range from Rs. 21,500 to Rs. 37,500, depending on the applicant’s age and the centre. You pay on the exam day, in cash or by debit or credit card (American Express is not accepted).
Age or service | Islamabad and Karachi | Lahore |
Under 5 | Rs. 21,500 | Rs. 21,500 |
5 to 10 | Rs. 22,000 | Rs. 22,000 |
11 to 14 | Rs. 32,500 | Rs. 33,000 |
15 and over | Rs. 36,500 | Rs. 37,500 |
Repeat exam (reassessment) | Rs. 21,000 | Rs. 21,500 |
Chest X-ray only | Rs. 9,000 | Rs. 9,500 |
Source: IOM Pakistan fee schedule for Canada. Lahore fees include 16% tax on lab and X-ray tests. Confirm the current fee with IOM when booking.
Canada Immigration Medical Exam Results and Validity
IOM sends your results directly to IRCC through eMedical once all reports are complete. You receive an information printout sheet showing your IME number, not the results themselves. IRCC writes to you only if it needs more information, tests or treatment.
Upfront applicants, including Express Entry candidates, upload this sheet with their application.
Results are valid for 12 months and must still be valid when you apply, according to IRCC’s medical exam requirements. Your PR visa or confirmation of permanent residence (COPR) usually expires on your medical expiry date, so you must land in Canada before then or take a new exam.
Tuberculosis (TB) Follow-Up and Medical Surveillance
- Sputum tests: If the chest X-ray suggests active TB, you give sputum samples on three consecutive mornings, and lab results take 8 to 10 weeks.
- Active TB: Treatment lasts at least 6 months and must be completed before IRCC continues with your application.
- Inactive TB: You must contact provincial public health authorities within 30 days of arriving in Canada for medical surveillance.
Common Mistakes That Delay a Canada Immigration Medical Exam
- Invalid identification: An expired passport or an unclear passport copy can lead to a rescheduled appointment.
- Missing health request letter: Applicants without an upfront exam need the IMM 1017E or IMM 1020E showing their UCI or IME number.
- Undisclosed medical history: IOM reports deliberate concealment to IRCC, and misrepresentation can lead to refusal and a 5-year ban from applying to Canada.
- Booking only the main applicant: Every family member needs their own exam, including those not moving to Canada.
- Missing guardian proof: Children under 16 cannot be examined without a parent or guardian and proof of relationship.
- Illness on the day: Reschedule if you or your child has a fever or rash.
- Delayed follow-up: Missing IOM’s deadline for sputum samples or extra tests postpones the submission of your results to IRCC.
Frequently Asked Questions
Where can I get a Canada immigration medical exam in Pakistan?
At four IOM Migration Health Assessment Centres: two in Islamabad (F-10 and G-8 Markaz), one in Lahore and one in Karachi. The IOM centre in Mirpur does not offer Canada exams.
How much does the Canada medical exam cost in Pakistan?
IOM charges Rs. 21,500 to Rs. 37,500 depending on age and centre. Applicants aged 15 and over pay about Rs. 36,500 in Islamabad and Karachi, or Rs. 37,500 in Lahore.
Is the upfront medical exam mandatory for Express Entry?
Yes. Since 21 August 2025, Express Entry applicants must complete an upfront medical exam after receiving an ITA and before submitting their PR application.
How long is a Canada immigration medical exam valid?
Results are valid for 12 months from the exam date. You must land in Canada before they expire, or IRCC may ask for a new exam.
Do Pakistani students need a medical exam for a Canada study permit?
Yes, for programs longer than 6 months. Applicants who lived in Pakistan for 6 months in a row during the year before arriving must complete an immigration medical exam.
Expert Help with Your Canada Medical Exam
AIRCS Group plans your medical exam around your Canada PR, study or Super Visa application. Message us on WhatsApp or book a consultation.
