How Much Does an Immigration Medical Exam Cost in Toronto & the GTA?
If you're preparing a Canadian immigration application, one of the first practical questions you'll have is: how much does this actually cost? The immigration medical exam (IME) is a mandatory step for most applicants, and understanding what you'll pay and what you get removes one source of uncertainty from an already complex process.
This page breaks down IMMEDEX's complete pricing, explains exactly what each exam includes, and covers the questions we hear most often from applicants across Toronto, Scarborough, North York, Markham, Pickering, and Ajax.
What Is an Immigration Medical Exam?
An Immigration Medical Exam (IME) is a mandatory health assessment required by Immigration, Refugees and Citizenship Canada (IRCC) for most permanent residence, refugee, and certain temporary residence applications. The exam must be performed by an IRCC-accredited Panel Physician. Your own family doctor cannot conduct it.
At IMMEDEX, every exam is performed by a certified IRCC Panel Physician and includes everything IRCC requires: a physical examination, blood work, and chest X-ray, all completed in a single visit at our Scarborough clinic.
IMMEDEX Immigration Medical Exam Prices (2026)
The table below reflects current IMMEDEX pricing. All fees are in Canadian dollars (CAD).
| Applicant Category | Exam Fee | Chest X-Ray | Estimated Total |
|---|---|---|---|
| Children (Ages 0–10) | $160 | Not required | $160 |
| Children (Ages 11–14) | $160 | $50 | $210 |
| Adults (Ages 15–74) | $200 | $50 | $250 |
| Seniors (Ages 75+) | $225 | $50 | $275 |
| Refugees (with valid ID) | $0 | $0 (covered) | $0 |
Note: The chest X-ray is performed on-site at VPM Imaging, located in the same building as the IMMEDEX clinic. The $50 fee is paid separately, directly at the imaging clinic.
Recall & Furtherance Fees
In some cases, additional appointments are required after your initial exam. Here is what those cost:
| Service | Fee | When It Applies |
|---|---|---|
| Recall Appointment | $40 | When the Panel Physician identifies an abnormality (e.g., in blood work or chest X-ray) and requires a follow-up. |
| Furtherance Appointment | $90 | When IRCC requests additional testing after reviewing your submitted results. |
IMMEDEX Immigration Medical Exam Prices (2026)
The table below reflects current IMMEDEX pricing. All fees are in Canadian dollars (CAD).
Physical Examination
Step 1 of 4
Your Panel Physician will assess your vision, height, weight, and blood pressure.
They will also review your medical history, including any existing conditions, past surgeries, hospitalizations, and current medications.
Blood Test
Step 2 of 4
Blood is drawn on-site and tested for the following (age-dependent):
Chest X-Ray
Step 3 of 4
Performed on-site at VPM Imaging in the same building to screen for signs of tuberculosis (TB).
Required for most applicants aged 11 and over.
eMedical Submission
Step 4 of 4
Your results are submitted electronically to IRCC by our Panel Physician within 7–10 business days.
You'll receive a notification once your file has been submitted.
Are There Any Additional Costs?
Medical Report Copy
If you want a personal copy of your medical exam results, IMMEDEX can provide one for an additional fee of $20 through the Order Your Report page.
Chest X-Ray: Separate Payment Required
The $50 chest X-ray fee is paid directly to VPM Imaging at the time of your visit. Payment for the X-ray is accepted by cash or e-transfer. This fee is waived for eligible refugees.
When Is Additional Testing Required?
Recall: If your Panel Physician notices an abnormality during your exam, such as an irregular result in your blood work or a concern on your chest X-ray, they will contact you to schedule a Recall appointment. The Recall fee is $40.
Furtherance: If IRCC reviews your submitted results and requires further investigation, they will instruct you to contact your original Panel Physician to schedule a Furtherance appointment. The Furtherance fee is $90. Note that IRCC initiates this request, not the clinic.
Neither a Recall nor a Furtherance is common for healthy applicants, but it is worth factoring both into your budget as a contingency.
Does OHIP Cover an Immigration Medical Exam?
No. The immigration medical exam is not covered by OHIP or any provincial health insurance plan. It is a government-mandated immigration process, not a standard medical service, and the full cost is borne by the applicant.
There is one exception: eligible refugees with valid government-issued ID receive their complete immigration medical exam, including the chest X-ray, at no cost. This is covered through a federal government program.
Payment options
*Chest X-ray is typically performed on-site concurrently with your medical examination at VPM Imaging, at an additional cost of $50 (waived for eligible refugees).
Cash
Credit
Debit
E-transfer
*Chest X-ray is typically performed on-site concurrently with your medical examination at VPM Imaging, at an additional cost of $50 (waived for eligible refugees).
Why Do Some Applicants Pay More?
A few factors can affect your total cost:
Age
Applicants aged 75 and over pay $225 (vs. $200 for those aged 15–74), reflecting the more detailed assessment appropriate for seniors. Children aged 0–14 pay $160, and their exam does not require a chest X-ray until age 11.
X-ray requirement
Applicants aged 0–10 do not require a chest X-ray. Those aged 11 and over do, adding $50 to the total.
Follow-up appointments
If a Recall or Furtherance appointment is requested, additional fees apply. Most straightforward applications involve only the initial exam.
Multiple applicants
If you are sponsoring a spouse, bringing dependent children, or applying for parent sponsorship, each family member must have their own exam and pay their own fee.
Who Needs an Immigration Medical Exam?
You will need an IME if you are applying for:
Permanent Residence
Express Entry, Provincial Nominee Programs, and all other PR streams.
Family Sponsorship
Spouse, common-law partner, dependent children, parents, and grandparents.
Super Visa
For parents and grandparents visiting Canada for extended stays.
Work & Study Permits
If you've lived in certain countries for 6+ consecutive months.
Refugee Status
Required as part of the refugee protection application process.
New as of August 2025: Express Entry applicants must complete an upfront medical exam before submitting their permanent residence application, rather than waiting for IRCC instructions.
How Long Are IME Results Valid?
Your immigration medical exam results are valid for 12 months from the date of the exam. If your application is not finalized within that period, you may be required to complete a new exam. Plan your timing accordingly, particularly if your application processing is expected to take longer than usual.
Serving the Greater Toronto Area
Location & Service Area
520 Ellesmere Rd, Unit 405
Scarborough, ON M1R 0B1 — easily accessible from across the GTA
Clinic Hours
Contact & Visit Info
Same-day appointments available
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FAQ
About our Immigration
Medical Exam
Read our most Frequently Asked Questions about Immigration Medical Exam, Costs and Services.
How much does an immigration medical exam cost in Toronto?
At IMMEDEX, the immigration medical exam costs $200 for adults aged 15–74, $160 for children aged 0–14, and $225 for seniors aged 75 and over. A chest X-ray (required for most applicants aged 11+) is an additional $50, bringing the typical adult total to $250. Refugees with valid government-issued ID pay nothing.
Is the chest X-ray included in the exam price?
The chest X-ray is performed on-site but carries a separate $50 fee paid directly to VPM Imaging in the same building. It is not bundled into the main exam fee. The chest X-ray fee is waived for eligible refugees.
Are blood tests included in the IME fee?
Yes. Blood tests (for HIV, syphilis, and creatinine) are included in your exam fee. No additional charge applies for the blood draw or laboratory analysis.
Does OHIP cover an immigration medical exam?
No. OHIP and provincial health insurance do not cover immigration medical exams. The cost is the responsibility of the applicant. Eligible refugees are the exception, as their exam is fully covered through a federal government program.
How long does the immigration medical exam take?
The complete exam, including the physical assessment, blood draw, and chest X-ray, typically takes 90 minutes or less. Everything is completed in one location during the same visit.
What payment methods does IMMEDEX accept?
IMMEDEX accepts cash, credit card, debit card, and e-transfer. You can also pre-pay online when booking. Note that the separate chest X-ray fee ($50) is paid at VPM Imaging by cash or e-transfer only.
Can I book a same-day appointment?
Yes. IMMEDEX offers same-day appointment availability, subject to current scheduling. You can book online, by phone, or via WhatsApp at 647-368-6588.
What is a Recall appointment and how much does it cost?
A Recall occurs when your Panel Physician identifies an abnormality during or after your exam and needs to see you again for a follow-up. The Recall fee is $40 CAD.
What is a Furtherance appointment?
A Furtherance is requested by IRCC (not the clinic) when they require additional testing after reviewing your submitted exam results. IRCC will advise you to contact the clinic to book a Furtherance with your original Panel Physician. The Furtherance fee is $90 CAD.
Do I need to fast before my immigration medical exam?
No. Fasting is not required. You can eat and drink normally before your appointment.
How soon are my results sent to IRCC?
IMMEDEX submits your results to IRCC via eMedical within 7–10 business days following your exam. You will receive email notification once your results have been submitted.
Can I get a copy of my medical exam results?
Yes. IMMEDEX can provide a copy of your medical report for $20. Visit the Order Your Report page to request it.
Serving patients from
Hours
Mon-Sat: 8h-17h
Sun: Close
Location
IMMEDEX Clinic
520 Ellesmere Rd, Unit 405
Scarborough, ON, M1R 0B1