Chest X-Ray for Immigration to Canada: What IRCC Requires and What to Expect

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The chest X-ray is one of the most frequently asked-about components of the Canadian immigration medical exam. Many applicants want to know why it is required, what happens during the X-ray, and whether there are exceptions. Here is what you need to know.

Why Does IRCC Require a Chest X-Ray?

The chest X-ray is required primarily to screen for tuberculosis (TB), which remains a public health priority for IRCC. Canada has very low domestic TB rates, and screening incoming applicants helps maintain that standard. The X-ray can also detect other significant pulmonary conditions that a panel physician may note in the assessment.

Who Is Required to Have a Chest X-Ray?

IRCC requires a chest X-ray for immigration applicants 11 years of age and older. Children under 11 are not required to undergo the chest X-ray. This age threshold applies regardless of the immigration program.

What Happens During the Chest X-Ray?

The X-ray is taken at a licensed radiology facility. At Immedex, the chest X-ray is performed on-site by VPM Imaging — in the same building — so you do not need to travel to a separate radiology lab. The X-ray itself takes only a few minutes. You will be asked to remove jewellery and metal items from your upper body.

Is There a Separate Cost?

At Immedex, the chest X-ray is performed by VPM Imaging at an additional cost of $50 beyond the base exam fee. This cost is waived for eligible refugees covered under the Interim Federal Health Program (IFHP). Confirm the pricing structure when booking.

What If You Are Pregnant?

Pregnant applicants require special consideration before undergoing a chest X-ray. IRCC has specific protocols for pregnant or potentially pregnant applicants — in some circumstances, the X-ray may be deferred until after delivery. If you are pregnant or may be pregnant, notify your panel physician before your appointment.

What If the X-Ray Shows Something?

If the X-ray reveals a finding of concern, your panel physician will document it and submit the results to IRCC. If IRCC identifies a potential admissibility issue, they are required to issue a procedural fairness letter giving you the opportunity to respond with additional documentation before any final decision.

Sources (IRCC official)

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