If you are a student travelling to Canada for the first time : Your medical exam expires 12 months after it is completed. If you do not travel to Canada in the 12-month validity period, you must have a new medical exam completed to be able to enter Canada, even if your study permit approval is still valid. https://travel.gc.ca/travel-co vid/travel-restrictions/answer s/foreign-non-us-student You are returning to Canada and have a valid study permit : If your medical exam (completed in support of your study permit application) is more than 12 months old, AND you have lived or travelled for 6 months or more in certain countries or territories before returning to Canada, you must have a new medical exam completed. You can check which countries will require a new medical exam here: https://www.canada.ca/en/immig ration-refugees-citizenship/se rvices/application/medical-pol ice/medical-exams/requirements -temporary-residents/country-r equirements.html You could be refused
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