Immigration Medical Exam in Ajax: A Step-by-Step Guide
A practical walk through your immigration medical appointment, with clear advice on booking, documents, testing and what happens after your visit.

An immigration medical appointment can feel like one more unfamiliar task in an already full application. You may have a letter with an identification number, a deadline on your calendar and questions about what will happen when you arrive. A clear plan makes that appointment easier to organise, especially when you are balancing work, family commitments or a move.
This guide follows an immigration medical exam in Ajax from the first booking conversation to the records you keep afterwards. One Stop Immigration Medical is at Suite 403, 300 Rossland Road East. Before choosing a date, read the instructions for your own immigration application and keep them beside you when contacting the clinic. The appointment should fit the application you are making, rather than a process described by a friend whose circumstances may be different.
Start with the instructions for your application
The timing of an immigration medical is not identical for every applicant. Current IRCC guidance says Express Entry applicants complete an upfront exam after receiving an invitation to apply and before submitting their application. Other permanent residence applicants generally wait for IRCC’s instructions. Some applicants already in Canada may qualify for an exemption based on an earlier exam. Check your situation against IRCC’s permanent residence medical guidance.
When reading a request letter, separate the information into three parts: who the request concerns, what it asks you to do and when it must be done. In a family application, keep each person’s letter attached to their own documents. Similar names and several reference numbers can make it surprisingly easy to bring the wrong page.
If an instruction is unclear, save the entire message rather than a cropped screenshot of one sentence. Context helps the clinic understand the requested appointment. Questions about your application category or whether an exemption applies belong with IRCC or an appropriately authorised immigration professional; the clinic can help with the medical appointment itself.
Book with enough information to plan the visit
Use the appointment page once you have gathered your instructions. Tell the team how many people need appointments, their ages and whether there is an approaching deadline. Mention any practical accommodation you may need, such as communication assistance, extra time to move between rooms or help understanding the check-in process.
A useful booking conversation also covers the price, the tests expected for your appointment and whether any part of the visit takes place elsewhere. Do not assume an appointment length from someone else’s experience. A single adult’s visit and a family’s appointments may involve different schedules, and follow-up requirements can vary.
Write down the confirmed date, arrival time and location in one place. If another person is driving or accompanying you, share that information in advance. Leave enough space in the day for registration and any testing arrangements explained by the team. When possible, avoid scheduling an important work meeting immediately after the appointment; uncertainty about your return time can make the visit feel more pressured than it needs to be.
Build a document folder for the appointment
The most useful folder is a simple one. Put your identification at the front, followed by the medical request or application instructions, then the information about your health that you intend to discuss. Keep the original documents protected, and make sure you can find them without searching through unrelated immigration paperwork at reception.
Our exam preparation page outlines the clinic’s document checklist: identification, any relevant medical form, your usual glasses or contact lenses, a medication list and relevant medical information. If you cannot bring the identification you expected to use, contact the team before travelling. Explain exactly which document is available instead of assuming that a photo or a document stored on your phone will be sufficient.
For medications, a typed or clearly handwritten list is easier to review than a series of photographs with some labels missing. Include the name and dose as shown on the prescription. If you are uncertain about a spelling, bring the labelled packaging or ask your pharmacy for a current list. You do not need to turn the folder into a complete personal archive; focus on information that helps you describe your current health and relevant history accurately.
Plan the journey to the Ajax clinic
The clinic’s contact page includes the address and directions. Check the route using the appointment time you have been given, particularly if you are travelling from Whitby, Pickering, Oshawa or eastern Scarborough. A journey that is straightforward outside busy periods may need a different allowance on the day of your visit.
Save the suite number as well as the street address. If you are coming with children or a family member who needs assistance, think through the arrival from their perspective: who will hold the documents, who will help with coats or a stroller, and who will handle the check-in conversation? A few small decisions made beforehand can reduce distractions at reception.
If you are unexpectedly delayed, contact the clinic when it is safe to do so. Let the team advise whether the appointment can still proceed as scheduled. Do not make a rushed journey because you are worried about losing your place. An accurate update is more useful than arriving late without knowing whether the day’s arrangements still work.
Use check-in to confirm the essentials
At the beginning of the visit, have the correct person’s identification and instructions ready. Check the spelling of names and dates of birth when the team asks you to confirm them. If your passport name and the name you normally use differ, point this out so the team can review the documents rather than guessing which version should appear.
This is also a sensible time to mention practical needs that may not have come up during booking. For example, you may find spoken instructions difficult to follow in a busy room, or you may want a relative to help you remember the next steps. Tell the team what would help, and allow them to explain how that support can fit the appointment.
Before moving on, clarify anything you have not understood about the visit’s sequence. You do not need to remember unfamiliar terminology immediately. Asking, “What do I do after this part?” is a useful question, and a short note on your phone can help you keep the answer available.
Prepare for an accurate conversation about your health
The appointment includes discussing your health history. Aim to describe what happened, when it happened and what care you currently receive. If an old diagnosis is uncertain, say so. A clear distinction between “I was diagnosed with this” and “I was tested for this” is more helpful than trying to supply an answer that sounds definite.
Relevant reports can support that conversation, especially when the name of a procedure or medication is difficult to recall. Organise them by topic or date and mark the document you most want the physician to see. If the report is lengthy, avoid interpreting it yourself; explain why you brought it and let the physician decide what information is needed.
There is no benefit in rehearsing a supposedly ideal health history. The purpose of your preparation is to make your account accurate and understandable. If you forget something important during the conversation, raise it as soon as you remember. Treat the visit as an opportunity to provide a clear record, not as a test of how confidently you can answer every question.
Understand the examination and testing plan
An immigration medical can include a physical assessment and age-related investigations. The physician will explain the components relevant to you. Current IRCC panel guidance describes routine chest X-rays from age 11 and certain blood tests from age 15, with individual circumstances potentially requiring other investigations.
Use that information as an introduction, not a personal test order. If you are pregnant or think you might be, tell the clinical team before imaging arrangements are made. If a procedure worries you, describe the concern plainly. Being afraid of a blood draw, needing help with positioning or finding a medical environment overwhelming are useful things for staff to know before that stage begins.
You can also ask what a test is for and how the next step will be arranged. A referral document may contain details that need to travel with you, so check what to bring if you are directed to another service. Keep your identification and papers accessible until all the planned parts of the visit are finished.
Review fees before paying
Consult the pricing page and confirm the full amount for your circumstances when booking. Ask which services are included, whether a test is paid separately and what might create an additional charge. A clear price discussion is particularly useful when several family members need appointments or when an earlier request mentions additional investigations.
Payment is also an opportunity to organise your records. Keep the receipt with the appointment information and check that you understand what it covers. If you need documentation for an employer or insurer, ask about that before leaving rather than discovering later that the document you kept does not contain the information they require.
The guide to immigration medical costs in Ajax explains how to build a visit budget without confusing clinic fees with other immigration expenses. The most helpful comparison between appointments is the confirmed total and its inclusions, not simply the first number shown on a page.
Know what to keep after the appointment
The clinic’s preparation information explains that patients receive an eMedical information sheet with a photograph and case number. Before putting it away, check that it belongs to the correct person. Store the paper safely and keep a legible digital copy in a private place you can access when working on your application.
Ask the team which medical steps are complete and whether anything remains outstanding. It helps to leave with a short, practical note: which document you received, whether you need another appointment and whom to contact about a missing record. Keep that note separate from general questions about the immigration decision.
The physician submits the medical information, while IRCC makes the immigration decision. For an upfront Express Entry exam, IRCC instructs applicants to upload the confirmation document with their application. Follow the instructions for your own file and consult IRCC’s guidance on submitting medical proof if you are unsure which step applies.
Leave room for follow-up without assuming a problem
If you receive a request for another record or appointment, read it carefully before drawing conclusions. Write down what is requested and the stated deadline, then contact the appropriate team with that information. A request for clarification is a task to respond to; it is not a reliable basis for predicting the outcome of an application.
Keep your contact information current and choose a routine for checking messages. If you ask the clinic for an update, have the appointment date and identifying information available so staff can locate the right record through their usual process. Avoid sending detailed medical information through a general contact form unless the team has explained a secure way to provide it.
The strongest preparation is straightforward: know why you are attending, bring organised documents, ask practical questions and keep the records you receive. When you are ready, book your visit in Ajax or contact the clinic to clarify the appointment details that apply to you.
Sources and useful links
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Our Ajax team can help with appointment details, preparation and questions about your visit.



