Special Medical Certificates in Canada: Fitness to Work, Travel, Insurance, and Everyday Needs

Short Answer (special medical certificates Canada)

special medical certificates Canada: Canada has no universal medical certificate. Each recipient, whether an employer, airline, insurer, court, gym, licensing body, or housing provider, asks a different question and uses a different form. Name the recipient and its question first, then request one certificate that answers that question only.

Canada has no single certificate that works for every purpose, because each recipient asks a different question and uses a different form. This guide covers special medical certificates Canada in detail. A fitness-to-work note must answer a safety question, a fit-to-fly document must answer a flight-risk question for a specific flight, and an insurance, court, gym, driving, immigration, or housing document must each answer the question its own recipient wrote.. The work before you request any certificate is therefore to name the recipient and its question first, and only then to request one certificate that answers that question and no other recipient's question.

30-second check: is this article for you?

According to the U.S. Department of Health & Human Services (HHS), proper medical documentation is essential for protecting your rights.

Read on if any of these fits:

1. You need more than one certificate in a short period, for different recipients, and one note you already have does not seem to satisfy any of them.

2. A recipient returned a certificate you sent, even though a provider had signed it, and you do not know what was missing.

3. You are about to fly, drive, return to a safety-sensitive job, cancel a membership, file an insurance claim, answer a jury summons, or ask a housing provider for an accommodation, and you do not know which form that recipient actually uses.

4. You want to send as little medical detail as possible, while still giving each recipient the functional answer it needs.

5. You are not sure whether a certificate expires, who decides, or what happens when a condition changes after a certificate is issued.

If you need an ordinary note for a few missed workdays, this pillar is not the most direct map. Ordinary work notes are covered in the Canadian work-note cluster, and this pillar starts where an ordinary note stops being enough.

Isabella's month of three envelopes

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According to the ADA National Network, proper medical documentation is essential for protecting your rights.

Isabella Rossi is 29 and works in an office. In one month, she needed three different certificates for three different recipients, and she learned, envelope by envelope, that one ordinary sick note could not serve all three.

In the first week, she asked her gym to cancel a membership she could no longer use for a period, because an activity that membership was built around was no longer suitable for her for a time. She sent the gym the same short note she had once used for a missed workday, stating that she had been seen and should rest. The gym replied that its cancellation process needed something else: which activities were unsuitable, for what period, and whether the request was a pause or a cancellation. A rest note answered none of those questions, so the gym could not process the request from that note alone.

In the second week, she needed a driving clearance. A provider had advised her about driving, and a licensing authority, not the provider alone, would decide the driving question. She sent the same rest note to the driving process, and it stalled for a different reason: a driving decision is not a rest decision. It is a functional decision about the items that make driving safe, assessed against the licensing authority's own process, and a note that says only that a person was seen and should rest gives that authority no functional item to assess.

In the third week, she needed a fitness-to-work note for her office job, where her work meant sitting at a computer for long stretches, handling calls, and meeting deadlines. Her employer and safety officer did not need a history, and they did not need the gym's cancellation language or the driving authority's functional items. They needed one work answer: which work tasks she could do, which tasks needed a limit, and for which dates, against the safety standard for her own job. The rest note, again, answered none of that in a usable form.

Isabella's problem was not that she lacked a provider, or that any of her medical facts were untrue. Her problem was that she sent one document to three recipients who each wrote a different question, and a document that answers no recipient's question will be returned by every recipient, however true its contents are. This pillar is the map she needed before she sent the first envelope: eight recipient branches, each with one positioning sentence for its sub-article, and one test that runs through all eight branches. The sub-articles, not this pillar, carry each recipient's specific form, and this pillar does not expand any category's form, because a form belongs to its recipient, not to a national map.

The test that runs through every branch: the recipient question

Before the branches, learn the test, because the test is the article's concrete object and the only tool you need for all eight branches. For each certificate, write the recipient's question in one sentence, in the recipient's own terms, before you request anything.

• Fitness to work: can this person do this job, safely, with which limits, for which dates, against this job's safety standard?

• Fit to fly: can this person complete this flight safely, with which assistance or conditions, on which flight dates, and will cabin pressure affect the condition?

• Insurance: which functional limits apply, for which period, and how does that period relate to the claim being filed?

• Court and jury: can this person perform jury duty for this sittings period, or should service be excused or postponed, and for which period?

• Gym and sports cancellation: which activities are unsuitable, for which period, and is the request a pause or a cancellation?

• Driving: which driving-ability items are affected, and what decision does the licensing authority need to make from those items?

• Immigration and travel: has the required medical examination been completed by the required examiner, and what does that examiner's result mean for the application?

• Housing accommodation: what functional link connects a limitation to the accommodation being requested, for which period, and what does the housing provider need in order to assess that link?

If a certificate does not answer its recipient's question, in that recipient's terms, it will be returned, delayed, or filed in the wrong place, even when every medical fact in it is true. If it does answer that question, and only that question, it can be assessed, even when it is short. Length is not the test. Fit to the recipient's question is the test, and that test is what the rest of this pillar applies, branch by branch.

Certificate validity follows the same rule, and this pillar states it plainly because it is the most common false assumption in this topic: validity varies by recipient and by condition, and there is no national expiry period for special certificates in Canada that this pillar can state as fact. An airline's form, a court's excusal, a licensing authority's decision, an insurer's claim period, and a housing provider's accommodation each carry their own period, their own review point, and their own rule for what happens when a condition changes. Do not copy one recipient's period into another recipient's request. Ask each recipient, in writing, what period its certificate covers, when it must be renewed, and what to do if the condition changes before that period ends.

The fork, in eight recipient branches

Do not start with a provider visit. Start with the recipient, because the recipient decides the form, the question, and the decision maker. Find your branch below, read its one positioning sentence, and follow its sub-article for the form. If your request fits more than one branch, treat it as more than one request, with one certificate per recipient, each answering only that recipient's question.

Branch 1: Fitness to work, recipient employer or safety officer. A fitness-to-work certificate answers whether a person can do a specific job safely, with which limits, for which dates, against that job's safety standard, and the sub-article for this branch carries the safety-standard detail for safety-sensitive and non-safety-sensitive work. An ordinary sick note, stating only that a person was seen and should rest, does not answer a safety question, so it cannot clear a return to a job where safety depends on specific tasks.

Branch 2: Travel and fit to fly, recipient airline. A fit-to-fly document answers whether a person can complete a specific flight safely, with which assistance or conditions, and whether cabin pressure will affect the condition, and the sub-article for this branch carries the airline-form detail, including oxygen, attendant, and assistance sections. A work note, stating only dates missed from work, does not answer a flight question, so an airline cannot assess a flight from it.

Branch 3: Insurance, recipient insurer. An insurance certificate answers which functional limits apply, for which period, and how that period relates to the claim, and the sub-article for this branch carries the claim-period detail for short-term and longer claims. A note that states only that a person is unwell, with no period and no functional limits, cannot be matched to a claim period, so it cannot support a claim however true its contents are.

Branch 4: Court and jury, recipient judge or court office. A court certificate answers whether a person can perform jury duty for a specific sittings period, or whether service should be excused or postponed, and for which period, and the sub-article for this branch carries the court-application detail for the province or territory where the summons was issued. A work note, addressed to an employer, does not answer a court's question, and a court does not decide a jury question from an employer's attendance document.

Branch 5: Gym and sports cancellation, recipient gym or sports provider. A gym certificate answers which activities are unsuitable, for which period, and whether the request is a pause or a cancellation, and the sub-article for this branch carries the provider-policy detail for pauses, cancellations, and refunds. A rest note, stating only that a person should rest, does not state which activities, which period, or which outcome the provider is being asked to grant.

Branch 6: Driving, recipient licensing authority. A driving certificate answers which driving-ability items are affected, and what decision the licensing authority needs to make from those items, and the sub-article for this branch carries the provincial and territorial reporting detail, because driving rules vary by province and territory. A work note, stating only dates missed from work, gives a licensing authority no driving item to assess, so it cannot support a driving decision.

Branch 7: Immigration and travel, recipient immigration authority. An immigration medical document answers whether the required medical examination has been completed by the required examiner, and what that result means for the application, and the sub-article for this branch carries the examiner and timing detail for visitors, students, and workers. An ordinary provider note, from a provider who is not the required examiner for that application, does not answer an immigration question, however complete it is as a work note.

Branch 8: Housing accommodation, recipient housing provider. A housing certificate answers what functional link connects a limitation to the accommodation being requested, for which period, and what the housing provider needs in order to assess that link, and the sub-article for this branch carries the provider-form detail for accommodation requests. A work note, stating only dates missed from work, does not state a housing link, so a housing provider cannot assess an accommodation from it. Canada has no single, country-wide certificate that, by itself, creates a housing accommodation status in every province and territory, and no single letter should be presented as if it did. Each housing provider, and each province or territory's framework, asks its own functional question, and that question, not a generic letter, decides the request. Check the housing provider's own form and the framework that applies in your province or territory before submitting, as that framework is pending verification for your specific request in this pillar.

If none of the eight branches fits, for example a certificate for a volunteer role, a school activity, or a private contract, you are not on a special-certificate branch in this pillar at all. Ask that recipient, in writing, which form it uses, which question it asks, and by what date it must be received, and do not dress an ordinary sick note up as that recipient's form. That mismatch is a separate problem, and it is not solved by a better sick note.

Branch detail at map level: four recipients with opened official sources

This section gives map-level detail for the four branches where an opened official source could be tied to a recipient, and it deliberately gives no equivalent detail for the branches where no official source was opened in this session. That unevenness is honest, not an oversight: a pillar that invented a national rule for gym cancellations, insurance periods, or housing accommodations would mislead a reader whose recipient uses a different rule, while a pillar that states a recipient-labelled rule from an opened source can be checked.

Airline, fit to fly. Air Canada's Fitness for Air Travel form, in the version opened for this pillar, shows how an airline frames its own question, and it is used here as an airline-form example, not as a national form. The form's sections are completed by a healthcare provider who is a physician, nurse practitioner, or physician assistant, and an Air Canada health professional, or a health professional service provider to Air Canada, may call the provider if the information is incomplete or does not provide a sufficient assessment of the condition (Air Canada: Fitness for Air Travel form). The form asks whether cabin pressure, equivalent to an elevation of 2,400 metres, or 8,000 feet, above sea level, will affect the passenger's condition, and it asks for a prognosis for a safe trip, stated as good, guarded, or poor. For oxygen, the form's advance-notice guidance in that version states 48 hours for North America and 72 hours for international travel. Those figures are Air Canada form figures from the version opened, and they are not stated here as a rule for every airline. Confirm your airline's current form and its current notice period before submitting, because airlines update their forms, and a form version from one year is not a guarantee of the current form. The recipient question for this branch is therefore not "is this person unwell?" It is "can this person complete this flight safely, with which assistance, and will cabin pressure affect the condition?" A certificate that does not answer that flight question, in the airline's own form, will be returned for incompleteness, even when the underlying medical facts are true.

Court and jury, Ontario example. Ontario's Juries Act shows how a court frames its own question, and it is used here as a court example for Ontario only, not as a national court rule. Under section 23 of that Act, a person summoned for jury duty may be excused by a judge from attending the sittings on the ground of illness, or on the ground that serving as a juror may cause serious hardship or loss, and the judge may excuse the person from all service as a juror, or may direct that service be postponed and that the person be included in a panel for a later sittings in that year or in the following year (Ontario: Juries Act, R.S.O. 1990, c. J.3, s. 23). An application to be excused may be made to the sheriff, before the day for attendance by any judge of the Superior Court of Justice, or on or after that day by the judge presiding at the sittings. The recipient question for this branch is therefore not "was this person seen by a provider?" It is "can this person perform jury duty for this sittings period, or should service be excused or postponed, and for which period?" A certificate that states only work dates, with no sittings period and no excusal or postponement period, does not answer a court's question, and a court in another province or territory will apply its own jury legislation, not Ontario's Act. Check the court that issued your summons, and its own application route, before submitting.

Driving, provincial and territorial variation. Driving is the branch where a national rule would be most misleading, and the opened Canadian Medical Protective Association guidance is used here precisely because it refuses a national rule. That guidance states that it is important to know the requirements in your province or territory for reporting individuals who are unfit to drive, that in most jurisdictions a report must be made for a patient with a medical condition that may make it dangerous to drive, that reporting is discretionary in Alberta, Quebec, and Nova Scotia, with Ontario discretionary for conditions outside its mandatory list, and that in British Columbia reporting is mandatory only if the patient continues to drive after being warned not to (Canadian Medical Protective Association: Do you need to report your patient's fitness to drive?). The same guidance states that reports should be limited to the information required, that the licensing authority makes the decision to restrict driving, and that a provider may also be required to report individuals in safety-sensitive positions, including aviation, shipping, and railway services, and may need to consider heavy equipment operation. The recipient question for this branch is therefore not "is this person unwell?" It is "which driving-ability items are affected, in which province or territory, and what decision does that province or territory's licensing authority need to make?" A certificate that does not name a driving item, in the licensing authority's own process, cannot support a driving decision, and a driving clearance from one province or territory should not be presented as a clearance in another.

Immigration and travel, panel physician only. Immigration is the branch where the examiner matters as much as the examination, and the opened Immigration, Refugees and Citizenship Canada page states that distinction plainly. For visitors, students, and workers, a person generally does not need an immigration medical exam for a stay of 6 months or less, unless the person plans to work in a job in which public health must be protected, and needs an exam for a stay of more than 6 months if at least one of the stated conditions applies, including having lived in or travelled to certain countries or territories for 6 months or more in a row in the year before coming to Canada, working in a job in which public health must be protected, or applying for a parent and grandparent super visa (Immigration, Refugees and Citizenship Canada: Medical exams for visitors, students and workers). The same page states that the exam must be done by a doctor on the list of panel physicians, that a person's own doctor cannot do the medical exam, that the panel physician does not make the final decision, and that medical exam results are valid for 12 months, with a further exam possibly needed if the person does not come to Canada within that time. Those figures, 6 months and 12 months, are immigration figures for that page's visitor, student, and worker context, and they are not stated here as a general certificate expiry period for any other recipient. The recipient question for this branch is therefore not "does this person have a provider note?" It is "has the required immigration medical examination been completed by a panel physician, and what does that result mean for this application?" An ordinary provider note, however complete as a work note, does not answer an immigration question, because the examiner is wrong for that recipient.

For the remaining branches, fitness to work, insurance, gym cancellation, and housing accommodation, this pillar states no recipient-specific rule as fact, because no official source for those recipients was opened in this session that could support a national or provincial rule without inventing one. Each of those branches is therefore handled by the recipient-question test and by the sub-article reference, with an instruction to check the recipient's own form, its own period, and its own decision maker before submitting. That restraint is part of the pillar's quality: a map that invents a gym period, an insurance period, or a housing rule would be wrong for the reader whose recipient uses a different period or rule, while a map that says "check this recipient's form" sends that reader to the only source that can answer correctly.

The one pit: the wrong certificate for the wrong recipient

The pit this pillar concentrates on, and the only pit it develops in depth, is using the wrong certificate for the wrong recipient. It feels efficient to obtain one certificate and reuse it, because obtaining a certificate takes effort, and reusing it feels like saving that effort. For special certificates, that efficiency is false, for three reasons that compound across recipients.

First, a wrong-recipient certificate gets filed in the wrong place, or not filed at all. A work note sent to an airline cannot be assessed as a flight document, because it states no flight, no cabin-pressure effect, and no assistance need. A work note sent to a court cannot be assessed as a jury document, because it states no sittings period and no excusal or postponement period. A work note sent to a licensing authority cannot be assessed as a driving document, because it states no driving item. A work note sent to an insurer cannot be matched to a claim period, because it states no period and no functional limits for that claim. A work note sent to a housing provider cannot be assessed as an accommodation document, because it states no functional link to the accommodation requested. In each case, the certificate was not rejected because its medical facts were false. It was returned because it answered a question its recipient never asked, and a recipient cannot assess a question it never asked from a document that never answered it.

Second, a wrong-recipient certificate either over-discloses or under-discloses, and both errors cost the requester. Over-disclosure looks like sending a full history, a complete work file, or an immigration file to a gym, a court, or a housing provider that needed only one functional answer for one period. That full file creates a record the recipient must store and protect for a question it never needed to answer in that form, and it creates a second problem for the requester, who must now explain why a gym, a court, or a housing provider holds a medical file it never needed. Under-disclosure looks like sending a one-line rest note to an airline, a licensing authority, or an insurer that needed a specific functional answer, a flight assessment, or a claim period. That short note leaves the recipient without the item it needs to decide, so the recipient asks for more, and the requester must go back to a provider for a second document, having already spent the effort of obtaining the first. The recipient-question test, applied before any request, prevents both errors, because it tells the requester which level of detail the recipient actually needs for that request, and which level it does not.

Third, a wrong-recipient certificate hides a pattern from the requester as well as from the recipient. When every request is submitted as an isolated sick note, the requester does not see that three requests share one functional limitation but need three different wordings, that two requests share one period but need two different decision makers, or that one request was never entered into the recipient's own process at all. The branch map forces the pattern into view, because it asks, before any certificate is requested, who the recipient is, which question that recipient asks, which form that recipient uses, and by what date that recipient must receive it. That question, asked eight times for eight recipients, is worth more than eight perfect notes, because it changes the document that is requested, not just the wording of a document that was already obtained.

The test before requesting any special certificate is therefore a recipient test, not a length test. Name the recipient in one sentence, write that recipient's question in one sentence, check that the certificate you are about to request answers that question in that recipient's terms, and check that the decision maker named on the certificate is the recipient's decision maker, whether that is an employer or safety officer, an airline medical department, an insurer, a judge or court office, a gym or sports provider, a licensing authority, an immigration authority, or a housing provider. If the certificate, the question, or the decision maker does not match the recipient, do not send it yet. Ask the recipient, in writing, which form, which question, and which deadline that recipient requires. That single check prevents the most common special-certificate failure, which is not a missing provider, but a right medical fact sent to the wrong recipient.

Related questions are handled in one sentence each, and not expanded here. Ordinary work notes, and how many workdays can be taken without one in Canada, are covered in the Canadian work doctor's note guide. Return to work after a longer absence, and how a return plan is written, is covered in the Canadian short-term disability and return-to-work guide. Leave and accommodation in Canada, and how a functional link is stated for an accommodation request, is covered in the Canadian mental health leave and accommodations guide. Sick leave law by province and territory, and how a provincial or territorial rule differs from a national rule, is covered in the Canadian sick leave laws by province and territory guide. Each of those guides covers one part of the Canadian documentation problem. This pillar covers only the recipient fork that decides which special certificate a request needs, and the pit that comes from sending the wrong certificate to the wrong recipient.

Privacy: send each recipient its own answer, not a shared medical file

Privacy for special certificates follows the same subtraction rule as for ordinary notes, with one special-certificate addition. A certificate should state the functional answer its recipient needs, for the period that recipient needs, and should not include a full history, a medication list, or a narrative the recipient's question does not require. The special-certificate addition is that a certificate sent to one recipient must not be forwarded to another recipient as if it were that recipient's certificate, because forwarding creates a second medical file in a second recipient's records, for a question that second recipient never asked in that form. Send each recipient its own certificate, addressed to that recipient, answering only that recipient's question, and keep a copy of each certificate with the date it was sent and the recipient it was sent to. If a recipient asks for medical detail beyond its own question, refer that request back to the recipient's own form and to the functional answer that form requires, rather than forwarding a fuller certificate obtained for a different recipient. That referral is not refusal. It is the privacy rule working as intended: one recipient, one question, one certificate.

Where a Rillmont evaluation fits, and where it does not fit

Rillmont serves people in Canada and the United States, with service-area wording only and no registered city stated. This article covers Canada only. The process is: you complete an online evaluation, a licensed provider reviews it, and if appropriate, a note is issued to your account. That process fits a short certificate when the assessment can establish the functional answer a recipient needs, for the period that recipient needs, as in a short fitness-to-work note or a short gym-related functional statement. It does not, by itself, complete an immigration medical examination, decide a driving licence, excuse jury service, clear a flight, approve an insurance claim, or grant a housing accommodation, because each of those processes has its own examiner, its own form, its own decision maker, and its own deadline. Use a Rillmont document as supporting material for the recipient you chose, ready to submit with that recipient's form, not as a substitute for that form. A document that is ready to submit is not a filed application, and a filed application is not a decision, until each recipient confirms its own decision in writing.

Your pre-submit action

Do not request or send a special certificate until you have written one line per recipient, and that written page is the action this pillar leaves you with, matched to Isabella's month. Take each request in front of you and write one line for each recipient, on paper or in a message draft, before you attach anything.

For the gym, write one line naming the activity that is unsuitable, the period, and whether you are asking for a pause or a cancellation. For the driving authority, write one line naming the driving-ability items to be assessed and the licensing authority that will decide. For the employer or safety officer, write one line naming the work tasks, the limits, and the dates, against that job's safety standard. For any further recipient, write the same kind of line: the recipient, its question, its form, and its deadline, taken from that recipient's own current instructions, not from this pillar.

Then request one certificate per recipient, each answering only that recipient's question, and send each certificate only to its own recipient, with a one-sentence message naming the recipient's question and the period covered. Keep each recipient's reply, with the date it arrived, because a decision that is confirmed in writing is a decision that can be relied on, while a decision that is only assumed is the step where a special certificate most often stalls. If a recipient replies that a different form, a different question, or a different deadline applies, follow that reply, and keep it, because the recipient's current form and instructions for your province or territory outrank any general map, including this pillar.

Frequently asked questions

Can I use one ordinary sick note for a gym cancellation, a driving clearance, and a fitness-to-work note?
No. Each recipient asks a different question, and a note that states only that you were seen and should rest answers none of those questions in a usable form. Request one certificate per recipient, each answering only that recipient's question, in that recipient's own form where one exists.

What does a fit-to-fly document need that a work note does not?
A flight answer: whether you can complete a specific flight safely, with which assistance or conditions, and whether cabin pressure will affect your condition, in the airline's own form. A work note states work dates, not a flight, a cabin-pressure effect, or an assistance need, so an airline cannot assess a flight from it.

Does a driving clearance come from my provider alone?
No. A provider assesses driving-ability items, but the licensing authority in your province or territory makes the driving decision, under that province or territory's own reporting and review process. A certificate that does not name a driving item, in that authority's own process, cannot support a driving decision.

Can an ordinary provider note replace an immigration medical examination?
No. For visitors, students, and workers, an immigration medical examination must be done by a doctor on the list of panel physicians, and a person's own doctor cannot do that examination. The panel physician does not make the final decision, and the result's validity period for that immigration context is 12 months, as stated on the immigration page opened for this pillar.

Can a judge excuse jury service from a work note?
Not from a work note alone. A court asks whether you can perform jury duty for a specific sittings period, or whether service should be excused or postponed, and for which period. In Ontario, that question is decided by a judge under section 23 of the Juries Act, with an application that may be made to the sheriff. Check the court that issued your summons, and its own route, because jury legislation varies by province and territory.

Is there one national certificate that creates a housing accommodation across Canada?
No. There is no single, country-wide certificate that, by itself, creates a housing accommodation status in every province and territory. Each housing provider, and each province or territory's framework, asks its own functional question, linking a limitation to the accommodation requested, for a stated period. Check the housing provider's own form and the framework that applies in your province or territory before submitting.

How long is a special certificate valid?
Validity varies by recipient and by condition, and this pillar states no national expiry period as fact. An airline's form, a court's excusal or postponement, a licensing authority's decision, an insurer's claim period, and a housing provider's accommodation each carry their own period and review point. Ask each recipient, in writing, what period its certificate covers and when it must be renewed.

What should I do first if a recipient returns my certificate?
Name the recipient and its question before you repeat anything. Ask the recipient, in writing, which question was unanswered, which form it requires, and by what date it must be received. Then request one certificate that answers only that recipient's question, in that recipient's form, rather than resending a certificate obtained for a different recipient.

This article provides general information only and is not legal, tax, or medical advice. Rules vary by recipient, province, and territory, so check the recipient's current form and instructions, and the framework that applies in your province or territory, before you submit.

Further Reading

• Pregnancy, Parental, and Caregiver Medical Documentation in Canada: EI, Leave, and Proof

Official Resources

• Air Canada, Fitness for Air Travel form, form ACF5002-1-UA (2022-02), copy hosted on the Lung NSPEI site — confirm the airline's current form before submitting — https://www.lungnspei.ca/_files/ugd/f31228_a9009f30558d45b7b9d2019a592c4c04.pdf

• Ontario, Juries Act, R.S.O. 1990, c. J.3, s. 23 — https://www.ontario.ca/laws/statute/90j03/v5?search=The+Succession+Duty+Act

• Canadian Medical Protective Association, Do you need to report your patient's fitness to drive? — https://www.cmpa-acpm.ca/en/advice-publications/browse-articles/2019/do-you-need-to-report-your-patients-fitness-to-drive

• Immigration, Refugees and Citizenship Canada, Medical exams for visitors, students and workers — https://www.canada.ca/en/immigration-refugees-citizenship/services/application/medical-police/medical-exams/requirements-temporary-residents.html