If your visa is already approved but your original medical exam has since expired, you've completed a new medical, and it isn't reflected in GCKey with no request from IRCC for it:
- Keep the original eMedical tracking sheet from your latest medical exam. Community experience suggests that if your visa/COPR is already approved and there's no active request from IRCC, you may not need to take further action before traveling — just carry the original tracking sheet.
- If you want to proactively update your file, submit the new medical results via a webform. This creates a record that you've completed a fresh medical, even if IRCC hasn't specifically requested it, which can help avoid confusion at the border or during landing.
- There's some disagreement in community experience on how necessary this step is — treat 'do nothing, just travel with the tracking sheet' as the minimum, and the webform submission as an extra precaution rather than a strict requirement.
Because this involves an already-approved case with an unrequested medical update, confirm your specific situation directly with IRCC if you have any doubt before traveling.