Registration for Canadian medical exam
Before we can give you an appointment for your medical exam we must receive your registration.
We wil use this information to validate your case and prepare your eMedical file.
Your file will be ready for you when you come in for your appointment.
A separate form is required for each family member.
Is this secure?
Yes. The information you submit is sent to our office by encrypted email. It is not stored on the server so it cannot be hacked.
Please use only English characters. International letters and accents are not recognized by the eMedical system.
Immigration Medical Examination number.
This is an 8 digit number you may have received from IRCC. It is REQUIRED for Immigrant and Family Class categories. Not required for other categories.
Your own personal email, not work email, lawyer's email or friend's email. This may be used for confidential information.
Canadian or US number only. Local phone number preferred. This is needed to contact you if additional tests are required or other problems occur,
Format: 10 digits without hyphens or spaces.
Local address is preferred, even if it is not permanent.
For all dates on this form, be sure to use this format: dd/mm/yyyy
(numeric DAY, MONTH and full YEAR separated by slashes)
Immigration type that you are applying for, NOT your current status.
Family Class is for a sponsored family member, spouse or partner,
Student, Visitor, Worker are categories for people who have entered Canada on a temporary permit.
If you are applying for permanent immigration and have an IME number, choose IMMIGRANT.