(Historical note: this thread discusses an IRCC policy change on upfront medicals; confirm the current requirement before your e-APR.)An outland Express Entry applicant post-ITA noticed the document checklist still listed a medical exam, despite a policy saying upfront medicals were no longer needed. The thread resolved the contradiction:
- The policy applied regardless of inland or outland. The clearest answer: irrespective of whether you're applying from inside or outside Canada, an upfront medical was not required when submitting the e-APR. IRCC would send a request for a medical exam later if needed.
- How to handle the mandatory upload slot. Since the e-APR form still demanded a file in the medical section, the practical workaround shared was to upload a short document stating that, per IRCC's policy, an upfront medical is not required and you will complete the exam when IRCC requests it.
- Doubt about scope was raised and answered. One member questioned whether the exemption covered outland applicants (e.g., someone applying from the USA with no Canadian history); the thread's final word was that it applied to both inland and outland applicants.
Takeaway: don't book a panel-physician exam preemptively just because the checklist mentions medicals — satisfy the upload slot with an explanatory note and wait for IRCC's request.