On September 29, 2023, the Government of Canada implemented changes to the medical examination requirement for Express Entry applicants. As of October 1, 2023, upfront medical examinations are no longer mandatory during the application process. Instead, applicants are advised to await instructions before proceeding with a medical examination. Applicants must complete a medical examination within 30 days of receiving the instructions. This modification aims to simplify the application process and ensure that medical examinations are carried out at the appropriate time.