On September 29, 2023, the Canadian Government made changes to the medical examination requirement for Express Entry applicants. Effective October 1, 2023, upfront medical exams are no longer required during the application process. Instead, applicants are instructed to wait for further instructions before taking a medical examination. Once the instructions are received, applicants must complete a medical examination within 30 days. This modification aims to streamline the application process and ensure timely completion of medical exams.