Immigration medical Exam (IME) Process & Guides

Preparing Your Child for an Immigration Medical Exam

Immigration medical exams can be stressful for both parents and children. But with a little preparation, the process becomes smoother and less intimidating. This quick guide will help you know what to expect and how to make your child feel more at ease.

A physician examines a young patient while a second medical staff member observes, as part of her immigration medical exam.

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Taking your child to an immigration medical exam can feel stressful, for both parent and child. The good news is that with the right medical exam preparation for children, the process is smoother, less intimidating, and often much quicker. This guide is designed for parents who want to know what to expect in a child immigration medical exam, how to prepare, and how to help kids feel at ease.

Why children need an immigration medical exam

If your child is applying for permanent residency or certain types of visas, an immigration medical exam for children is required—regardless of age. These exams are mandated by immigration authorities (like IRCC in Canada) to ensure that children meet public health standards.

For most kids, the exam is simple and includes:

Review of medical history
A physical examination
Vaccination check
Possible chest X-ray or lab tests (depending on age and requirements)

Parent Checklist: What to Bring

To make the appointment go smoothly, bring the following:

Child’s passport or government-issued ID
Any IRCC form or letter (if applicable)
Glasses or contact lenses (if your child wears them)
A list of medications your child takes
Medical reports for ongoing conditions (e.g., asthma, allergies, heart conditions)
Comfort items for younger children (snack, water bottle, favorite toy)

An IMMEDEX physician counsels a mother and child following their immigration medical exam.

Helping your child feel comfortable

Children may feel nervous about the exam, especially if it’s their first time. Here are some ways to ease their anxiety:

Explain simply: Let them know the doctor will check their height, weight, ears, eyes, and heart.
Role-play at home: Pretend check-ups can help reduce fear and build familiarity.
Bring distractions: A book, coloring activity, or small toy can help pass the time.
- Here’s a fun coloring page from our clinic that your child can enjoy while waiting for their appointment:
  - [Downloadable coloring page]

Also Read: How to be prepared for Your Immigration Medical Exam (IME): A Complete Guide

What happens during the child’s exam

Here’s a breakdown of what typically happens during a children medical exam for immigration:

Identity check & photo
Medical history review (answered by the parent)
Physical exam: height, weight, vision, ears, heart, abdomen, reflexes
Lab tests or chest X-ray: may be required depending on age and IRCC guidelines
Electronic submission: results are sent directly to immigration authorities via the eMedical system

FAQs for parents

Do all children need a chest X-ray?
Not always. It depends on the child’s age and IRCC’s requirements. Younger children may not need it.

Will my child get blood tests?
Blood tests are usually required for children over a certain age (often 15+). Younger kids may not need them.

Can I stay with my child during the exam?
Yes, parents or guardians are encouraged to stay and support their child.

How long does the exam take?
Plan for 60–90 minutes, depending on whether additional tests are required.

Is fasting needed?
No, children do not need to fast for the immigration medical exam.

Tips for parents of younger children

Schedule appointments at a time when your child is usually rested and calm.
Bring a snack or bottle for after the exam.
Tell the doctor if your child is nervous so our experienced physicians can adjust their approach.