For an upfront medical exam tied to a Canada study permit application, the group clarified what to actually bring to the panel physician:
- Bring your university offer letter. Members pointed out that most Canadian universities don't issue a separate document called a "Letter of Acceptance" — the offer letter you receive from the school serves that purpose and is what you should present.
- Bring your identity documents. Your passport and other standard ID are needed alongside the offer letter.
- Book with an IRCC panel physician, not just any doctor — the medical exam only counts if done through a physician on IRCC's approved panel physician list for your country.
If your specific study permit application portal or panel physician's office labels the requirement "LOA," the offer letter from your school is generally the document to upload — but check the exact wording of the request before your appointment.