A student's immigration medical exam was due to expire before their planned August landing. The group's experience:
- Your medical must be valid on the day you first land. The core rule members stated: validity is checked at first entry. One member noted the document status in the counterfoil will show the medical as invalid once it expires — border officers can see it.
- Redo the medical with a panel physician. The fix is simply a fresh upfront medical exam with an IRCC-approved panel physician, the same way the original was done.
- Notify IRCC through a webform. Since there's no upload slot on an already-submitted file, members advised raising an IRCC webform to attach/notify the new medical results to the application.
- Do it upfront. Members confirmed applicants in this corpus all did upfront medicals attached with the application — the redo works the same way; don't wait for IRCC to ask.
The thread didn't settle whether to redo before or after the old one expires; the safe reading of 'valid at first landing' is to time the new exam so its validity window comfortably covers your travel date.