Immigration medical exam cost — clear fees, posted up front
The doctor’s fee is the same every day we’re open. Blood work and a chest X-ray are added only where your age group requires them, and each is priced below.
Exam fees
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Immigration doctor exam Age 0–10 $150 -
Immigration doctor exam Age 11–14 $150 -
Immigration doctor exam Age 15–74 $150 -
Immigration doctor exam Age 75+ $200 -
Furtherance visit $70Book only if requested by IRCC or by your panel physician after your exam has been submitted. If a chest X-ray is required for it, that is $50, paid to the imaging provider.
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Refugee medical exam No chargeNo charge with valid Interim Federal Health documentation, for the first exam. Every component is covered, chest X-ray included — the imaging provider does not bill claimants covered by Interim Federal Health either.
- The same price every day we’re open — no weekend or holiday rate.
- Costs are for the standard exam — additional tests may be required based on your medical history.
- Interac debit — no fee. Credit and international cards — $5 fee.
Tests required by age
Blood work and the chest X-ray are done on-site, in the same visit — no requisition to take elsewhere and no second appointment.
| Age | Doctor’s exam | Blood test | Chest X-ray |
|---|---|---|---|
| 0–10 | Required | Not required | Not required |
| 11–14 | Required | Not required | Required — $50 additional charge |
| 15–74 | Required | Required — $30 additional charge | Required — $50 additional charge |
| 75+ | Required | Required — $30 additional charge | Required — $50 additional charge |
The chest X-ray is performed on-site and paid directly to the imaging provider, separately from what you pay the clinic.
Ready to book your exam?
Book online in a few minutes — or just walk in during clinic hours.
Payment methods
All payment methods are accepted at both clinics — Interac debit is free of charge, and credit cards and international cards carry a $5 surcharge. We provide itemized receipts — useful for insurance claims.
If more testing is needed
Occasionally IRCC requests clarification — for example a follow-up image or a specialist referral. Where extra testing is needed, we explain what it involves and give you a personalized cost estimate before anything proceeds.
Refugee exams: no charge
Refugee medical exams are provided at no charge with valid Interim Federal Health documentation, for the first exam. Refugee exam details →
Insurance coverage
Immigration medical exams are not covered by OHIP or any other provincial health plan — they are required by a government for an application, not for your medical care. Some private and employer plans do reimburse them. Take your itemized receipt to your insurer yourself; whether it is reimbursed depends on your own plan and its coverage.
What the doctor’s fee covers
The doctor’s fee covers the physician’s part of the immigration medical exam: a review of your medical history — past surgeries, ongoing conditions, current treatments — along with a physical examination and a vision check. Bring your glasses or wear your contact lenses so the vision check can be completed on the spot.
Where your age group requires them, the blood test and the chest X-ray are done in the same building on the same day. They are priced separately, and each amount is shown against its component in the table above. The chest X-ray is taken by the on-site imaging provider and paid directly to them.
- Blood tests — screening for HIV and syphilis, plus serum creatinine to assess kidney function; required from age 15
- Chest X-ray — screening for tuberculosis, which can be present without symptoms; required from age 11
- Medical history review and vision assessment — part of the physician exam at every age
Why immigration medical exam fees are organized by age
The components of an immigration medical exam depend on the applicant’s age, and the fee structure follows the same rule. Children aged 0–10 need only the physician exam. The chest X-ray is added from age 11, and blood testing from age 15 — which is why each age band lists a different set of components.
Find your age band in the table above and you can see which tests apply to you and what each one costs. If you are not sure which band applies — a child turning 11 before the exam date, for example — call us and we will confirm before you book.
When the immigration medical exam cost can change
Most applicants pay the doctor’s fee plus the tests their age group requires, and nothing further. Occasionally, though, the panel physician or IRCC needs more information before your file can be completed — a follow-up process called furtherance. It is a request for specific additional information, not a decision about your application.
The reasons are medical: clarifying a finding on the chest X-ray report, additional testing to rule out tuberculosis, or repeat blood work to confirm kidney function. A specialist referral or follow-up imaging can also be requested.
Furtherance visits are priced separately and listed with the fees above — book one only if IRCC or your panel physician has asked you to. Anything beyond those components is explained first: you will know what is involved, and what it costs, before testing goes ahead.
Immigration medical exam costs for a family
Fees are per person, and each family member follows their own age band. A seven-year-old needs only the physician exam, a twelve-year-old adds the chest X-ray, and anyone 15 or older has the full set of components.
To work out what your household will pay, read the doctor’s fee for each person’s age band together with the tests that band requires — every amount a patient pays is shown on this page. Everyone can be seen in the same visit; booked appointments get priority, and walk-ins are welcome until 30 minutes before closing.
Who performs your immigration medical exam
IRCC designates specific doctors — panel physicians — to perform immigration medical exams and submit results through eMedical. Both of our clinics are staffed by IRCC panel physicians in Toronto, and the doctor’s fee covers the designated exam itself: the assessment and the completion of your file in eMedical.
Whether your application needs an exam at all is set by IRCC’s published requirements — we link to the official page rather than summarize it, because those rules change. What we can state precisely is what the exam involves and what it costs, and both are on this page.