New immigration medical examination process in effect as of November 1st

Yesterday, Citizenship and Immigration Canada (CIC) mandated new changes to the immigration medical examination forms and Immigration Medical Examination Instructions (IMEIs), in anticipation of the eMedical implementation and the new release of the Global Case Management System (GCMS) 4.0.

As of today, November 1st, all Designated medical practitioners (DMPs), and Regional Medical Offices (RMOs) are required to use the new forms and IMEI.  Prior to the changes, all immigration medical examinations were completed using a paper-based system.  Once the forms were completed, they were mailed to the respective RMOs for further medical assessment.

Now with the advanced technology of eMedical and GCMS 4.0, new immigration medical examination forms will be forwarded to, and assessed in newly updated GCMS medical screens.

The forms, listed below, are available on the CIC website as well as under the “Forms” section on the CIC intranet site.

In support of the release of the new GCMS 4.0, all previous versions of the IMM 1017 form as well as the Appendix C will no longer be used.  Instead, two newly-revised IMM 1017 forms have been created:

  •  IMM 1017: Medical Report: Client Biodata and Summary – not available on the CIC website as it will be GCMS-generated along with medical instructions
  • IMM 1017B: Upfront Medical Report: Client Biodata and Summary – not available on the CIC website as panel physicians will have these forms in their office.
  • NOTE: With the implementation of the new IMM 1017B, the Appendix C will no longer be required.

Refugees Claimants (Abroad)

For refugee claimants making their claims at the port of entry, instructions on how to proceed with their immigration medical examination will be provided by Canadian Border Service Agency (CBSA) officers.

It is important to note that CBSA officers will not have access to the IMM 1017 forms in GCMS nor will they be able to create a file in the system.  As such, it will be the clients’ responsibility to bring these instructions to a Canadian Designated medical practitioner.  The physician will then proceed to input and submit the results of the immigration medical examination on a paper form for these clients.

Refugee Claimants (Inland)

Claimants making their claims at an inland CIC office will be able to create a file in GCMS and have medical instructions issued normally.

Click here to download the new forms, IMEIs and the 2009 Designated Medical Practitioners Handbook. 

8 thoughts on “New immigration medical examination process in effect as of November 1st

  • Hello,

    I am U.S. citizen who married a Canadian. I am going through the process of becoming a Canadian. The only thing I need to send now is the physical. I haven’t done it yet, but I set up an appointment today with a doctor in Michigan. The doctor in the States is requesting a IME number? He said something about November 1st. I asked him what is that… and his only response is that it was implemented this month of November and I have no clue what he is talking about. I currently work in Michigan, I am immigrating to Windsor, ON. I currently have a visitors record. What is a IME # that he is asking for?

    Thank you for your help!


    • Hi Pete,

      Thank you for your question. On November 1st, Citizenship and Immigration Canada (CIC) began implementing the new Immigration Medical Examination (IME) process. The new changes are in support of CIC’s transition to eMedical, an automated system that will streamline the processing and assessment of IMEs. As such, new forms and instructions have been provided to Designated medical practitioners. With that being said the new process is as follows:

      • The Regional Medical Office (RMO) issues a client letter with instructions to return to a panel physician for further investigations.
      • The furtherance request is transferred to eMedical.
      • The panel physician retrieves the furtherance request from eMedical by carrying out a search using the IME# or UCI# indicated in the client’s letter.
      • The panel physician completes the additional examination(s) or generates a referral letter containing the information that will be sent to a specialist for the required investigation(s).
      • The panel physician enters the information in eMedical and submits the information to CIC.

      The RMO will issue you the Medical Report (form IMM 1017). This form will display the following:

      • Client information (biodata)
      • Immigration information
      • IMM Type (e.g. Excessive Demand Exempt (EDE); Non-Excessive Demand Exempt (Non-EDE); Refugee-Overseas)
      • IME grading
      • Panel Physician Declaration

      Once you receive this form, you must present it to your physician at your IME appointment at which point he/she will have your IME# or UCI#.

      Furthermore, the new forms that your physician is required to use are available on our blog page or on the CIC website under “Forms”.

      I hope this helps explain your question. If you have any more questions, please feel free to email me at


      • Thanks Jessica for the knowledge! So I am just waiting on a letter back from RMO before going to the Physician.

  • Hi Jessica
    I completed my medical examination with a DMP, and this is for my application for permanent residency to Canada through Family Class & common law marriage. On my package it tells me to take the IMM1017 form to have the physician sign and stamp it but information i found on the CIC website tells me this form is no longer in use. I called my physician’s office and front desk tells me I have completed all I need for my Medical Examination and I do not have to include anything aside from the receipt for my Medical. Is this information correct? I have everything ready for the rest of my package and want to send it off, I just don’t want to send it without all correct forms.
    Please let me know and thank you so much for your time.

    • Hi Anya,

      Thank you for your message. Generally speaking, applicants who are applying for permanent residence OUTSIDE Canada will be required to include the IMM 1017 form (for yourself and each of your accompanying dependants) in their application package. On the other hand, applicants applying from INSIDE Canada will only need to include the medical examination receipt.

      I hope this helps to clarify your question. Good luck in your application for permanent residence.


  • Hi Jessica,

    We received a notice from CIC-Ottawa for my in-laws medical thru email with the attached instructions and IMM 1017. But the email did not state how many days they have to comply with this requirement and if they really need photos to go with the form as it appears it has spot for it and what size. Thank you in advance for your assistance.


  • Hi,

    I am a US citizen who will be going to Canada as a temporary foreign worker. I am working as a nanny (NOT the live-in caregiver program), and will be applying for my work permit at the border as I will have my positive labour market opinion in hand (I live in Seattle).

    I am confused about needing the medical exam as I keep getting clashing opinions/advice.

    Am I required to have the exam done prior to entering the country, or will an immigration officer instruct me to get one and then assign me an IME number? (Will I be allowed to enter the country, just not work until the exam is completed and results sent back from Ottawa?) I am supposed to start working lass than a week after I arrive, which is why I was wanting to do the exam beforehand so it would be done and ready as I enter the border.

    What would you suggest?

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