Immigration, Refugees and Citizenship Canada (IRCC) has updated the countries and territories that require an Immigration Medical Exam (IME) for temporary residence applicants, adding four new regions, and removing six.

As a result, temporary residence applicants from the four newly-added countries will be required to complete an IME while those from the removed countries will no longer need to do so.

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These changes come into effect on November 3, 2025 and impact anyone who has lived in or travelled to these countries for six consecutive months in the year prior to their arrival in Canada .

Any application submitted prior to November 3 will be unaffected.

The newly-added countries join a long-standing list that already

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