You require a medical examination. For instructions on how to complete an upfront medical examination, please visit the following link: http://www.cic.gc.ca/english/res ... m/instructions.asp. In order to submit your online application, you must provide proof that a medical examination was completed by a doctor (Panel Physician). You must upload a copy of the Upfront Medical Notification or IMM 1017B-Upfront (“copy to client”) that your doctor will provide you.