An applicant asked whether inland PR applicants who already completed an Immigration Medical Exam (IME), and are considered low-risk, could skip a new medical exam at the PR application submission stage, referencing a temporary IRCC policy.
What the group explained:- Results are mixed. More than half of applicants who tried relying on their old medical were later asked to submit a new medical report anyway, so this isn't a guaranteed path.
- If you do try it, document your reasoning. Submit your old medical exam documents along with a Letter of Explanation (LOE) clarifying that you're relying on the temporary policy, and include the specific IRCC link/reference where that policy is described.
Practical takeaway:- This relies on a temporary IRCC policy — confirm on the current IRCC website whether it's still in effect before assuming you can skip a new medical.
- If you do rely on an old medical, be prepared for the possibility that IRCC may still request a new exam, and don't let this delay the rest of your application.
- A clear LOE citing the specific policy reference improves your chances of the old medical being accepted without further requests.