
Executive Summary
The government has added and deleted countries from the list of countries whose residents must obtain a medical examination when seeking temporary residence in Canada for six months or more.
The situation
The government has updated the list of countries whose residents are required to obtain a medical examination (IME) when seeking temporary residence in Canada for more than six months.
A closer look
- Additions. Temporary residence applicants who have lived in Fiji, Singapore, or Tunisia in the past year for six consecutive months or more now require an IME.
- Deletions. Temporary residence applicants from Argentina, Bahrain, Belize, Colombia, Portugal, the Seychelles, Surinam, or Venezuela no longer require the IME, unless immigration authorities specifically request one.
Foreign nationals who submitted a temporary residence application to visa posts abroad before November 23, 2017 will not be penalized if they followed the guidelines that existed at the time the government received the application. However, the Canadian immigration authorities may request that these applicants undergo an IME.
Background
IMEs are required for:
- Temporary residents (workers, students, and visitors) whose stay will exceed six months in Canada and who were residents for over six months in one of the countries on the list; and
- Residents of all countries if they are working in jobs that bring them into close contact with people, including workers in the health sciences field, clinical laboratory workers and medical students admitted to Canada to attend university, among others.
The requirement to complete an IME is based on the tuberculosis rate in a particular country, according to the World Health Organization.
This alert is for informational purposes only. If you have any questions, please contact the global immigration professional with whom you work at Fragomen or send an email to [email protected].
Explore more at Fragomen
Media mentions
Partner Rick Lamanna provides insight to Buffalo Toronto Public Media on potential IRCC processing challenges as Canada prepares for increased visa demand ahead of the 2026 FIFA World Cup.
Blog post
Immigration Director Deirdre Murray explores the impact of upcoming employment permit changes on employers and workforce planning in Ireland.
Video
Director David Iannella discusses how Global Entry can help frequent business travelers navigate US entry more predictably and access TSA PreCheck.
Video
Manager Russell Hodges and Associate Gurpreet Phalora explain key UK immigration considerations for London Fashion Week 2026.
Advisory services
Senior Counsel Jo Antoons and Immigration Supervisor Elisabeth Kamm explore the EU Blue Card recast and its impact for employers, highlighting how hiring, retention and mobility decisions are affected.
Media mentions
Partner James Pack on US H‑1B updates and what employers should know for the upcoming lottery.
Immigration analysis
Manager Konstantin Schmid provides a practical overview of Swiss citizenship routes, eligibility rules and common reasons applications are delayed or refused.
Media mentions
Manager Pierangelo D’Errico discusses how recent changes to Italy’s citizenship rules are affecting applicants with Italian ancestry.
Podcast
Director Laxmi Limbani discusses how women are shaping the global space sector, the barriers they face and what is needed to support a more inclusive space workforce.
Media mentions
Senior Manager William Diaz outlines how immigration changes in the US and UK may affect workforce planning and mobility for the games industry in 2026.
Media mentions
Partner Julia Onslow-Cole highlights how global mobility is becoming a strategic, board-level consideration requiring careful planning, compliance and workforce management.
Media mentions
Partner Rick Lamanna provides insight to Buffalo Toronto Public Media on potential IRCC processing challenges as Canada prepares for increased visa demand ahead of the 2026 FIFA World Cup.
Blog post
Immigration Director Deirdre Murray explores the impact of upcoming employment permit changes on employers and workforce planning in Ireland.
Video
Director David Iannella discusses how Global Entry can help frequent business travelers navigate US entry more predictably and access TSA PreCheck.
Video
Manager Russell Hodges and Associate Gurpreet Phalora explain key UK immigration considerations for London Fashion Week 2026.
Advisory services
Senior Counsel Jo Antoons and Immigration Supervisor Elisabeth Kamm explore the EU Blue Card recast and its impact for employers, highlighting how hiring, retention and mobility decisions are affected.
Media mentions
Partner James Pack on US H‑1B updates and what employers should know for the upcoming lottery.
Immigration analysis
Manager Konstantin Schmid provides a practical overview of Swiss citizenship routes, eligibility rules and common reasons applications are delayed or refused.
Media mentions
Manager Pierangelo D’Errico discusses how recent changes to Italy’s citizenship rules are affecting applicants with Italian ancestry.
Podcast
Director Laxmi Limbani discusses how women are shaping the global space sector, the barriers they face and what is needed to support a more inclusive space workforce.
Media mentions
Senior Manager William Diaz outlines how immigration changes in the US and UK may affect workforce planning and mobility for the games industry in 2026.
Media mentions
Partner Julia Onslow-Cole highlights how global mobility is becoming a strategic, board-level consideration requiring careful planning, compliance and workforce management.

