What You Need to Look for on Your Open Work Permit or PGWP to Avoid Problems | Warning for Specific Work Areas

Eddy Ramirez
October 6, 2026

When a person in Canada applies for an open work permit as the partner of an international student or foreign worker, or applies for a Post-Graduation Work Permit, they should be aware that the permit will be issued with a note stating that they may not work in any of these three specific areas:

  1. Child Care
  2.  Elementary or secondary school education
  3.  Healthcare services 

However, there are those who find work in these fields and later face a serious problem when applying for permanent residence: the officer realizes that they omitted this detail and, as a result, rules that their Canadian experience is inadmissible. 

To avoid breaking the law while working in Canada, I will address the issue by focusing on the solution—the Upfront Medical Exam —and the correct procedure for working in these areas without restrictive conditions.

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What is the Upfront Medical Exam?

The Upfront Medical Exam is a health assessment conducted by a licensed physician (Panel Physician) on behalf of Immigration, Refugees and Citizenship Canada (IRCC).

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Exam Characteristics

  • It is mandatory in certain cases. Some study, work, or residence permits require you to present the proof ( eMedical Information Sheet ) when applying or upon arrival at the Canadian border. 

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  • The exam is taken at the applicant's initiative before submitting the application for an open work permit or PGWP.

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  • This exam is performed by licensed physicians, so you must schedule your appointment exclusively with an IRCC-certified Panel Physician.

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  • This examination includes a general clinical evaluation: blood tests, a urinalysis, and a chest X-ray (the specific tests vary depending on the patient's age).

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  • It costs approximately between $200 and $500 CAD, which must be paid in full by the applicant.

At the end of the appointment, the doctor will give you a sheet with the form eMedical form (or test report), which must be included with your immigration application to IRCC.

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Why does IRCC require this exam for these specific areas?

Taking this exam allows IRCC to verify that you do not have any serious or contagious illnesses that would pose a risk to public health in Canada or place an excessive burden on the healthcare system. 

By demonstrating good health from the outset, the immigration officer may issue your work permit WITHOUT the employment restrictions on childcare, elementary/secondary education, and the healthcare sector.

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The Upfront Medical Exam is scheduled before applying

Students who plan to apply for the PGWP and wish to work in childcare, education, or the medical field must include their Upfront Medical Exam.

Student or worker couples who are gaining experience under an open work permit to work in these fields must complete their Upfront Medical Exam before submitting their application.

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What happens if you didn't notice the restrictive note?

If you already have a work permit issued with a restrictive note and have only recently become aware of this issue, follow these two rules:

  1. Do not work in those areas under any circumstances. Doing so constitutes a violation of the terms of your permit, which will have serious long-term consequences for your immigration status.
  2. Request a Change of Conditions (Change of Conditions).

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Correct Procedure

If you want or need to work in any of these restricted sectors, the correct procedure is:

  1. Have the Upfront Medical Exam performed by a Panel Physician.
  2. Submit a formal request for a Change of Conditions on your Work Permit to IRCC.
  3. Attach proof of the medical exam to the new application.
  4. Wait for IRCC to approve your application and issue you a new physical permit with the restrictions removed before you begin working in that area.

Consequences of Working Under Restricted Permission

This issue affects your ability to obtain permanent residency. If you overlooked the note or assumed that the government “wouldn’t notice,” you run the immediate risk that an official will detect the inconsistency.

When an officer reviews your application for permanent residence (for example, under the Canadian Experience Class or provincial programs), they carefully compare three pieces of information:

  1. The conditions and notes listed on their previous work permits.
  2. Employment letters, paystubs, and tax returns ( T4).
  3. The NOC/TEER codes for the positions in which you gained your work experience.

If you worked in the medical, educational, or child care fields while holding a work permit with an explicit restriction, your work experience in that field will be deemed invalid and inadmissible.

This will reduce the number of months of work, which means you will lose points on your Express Entry profile for the CEC and could result in the rejection of your application for permanent residence.

Furthermore, in the worst-case scenario, the officer may determine that the individual lied throughout their entire period of employment, which constitutes “misrepresentation”: a deliberate violation of the conditions of their stay or the provision of false information, resulting in deportation from the country and a 5-year bar on re-entry.

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Final Recommendations

For an international student, obtaining the Post-Graduation Work Permit (PGWP) offers the opportunity to practice their profession and gain Canadian work experience, which will open the door to permanent residency.

Many people do not know how to strategically manage this period and end up with expired or outdated documents because they fail to plan ahead or identify the system’s opportunities, constraints, and requirements in a timely manner.

To ensure that the PGWP fulfills its purpose from day one:

  • Gain qualified Canadian work experience , and then apply under the Canadian Experience Class (CEC) category of Express Entry.
  • Identify your NOC occupation and review the restrictions. 

Remember: If your NOC is related to the child care, education, or health care sectors, you must have submitted the Upfront Medical Exam or apply for a Change of Conditions before working in that field.

  • Improve your language skills to achieve a high score in English and/or French (CLB 8 or higher) and increase your score in the CRS system.
  • Plan for permanent residency with your spouse: If you have a spouse, your spouse’s work experience, education, and language proficiency also increase your profile score.

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Do you have questions about how to remove restrictions on your work permit? At Immiland Law Professional Corporation we can help you.

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We are licensed consultants and Canadian attorneys committed to helping immigrants and supporting them through the process of obtaining permanent residence. 

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Contact Us and we will be happy to evaluate your situation to determine whether we can represent you.

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I hope this topic proves useful for your application.

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See you in the next blog post, where we'll continue to help you build your Canadian dream with professionalism, dedication, and empathy!

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With love, 

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Immiland Law Professional Corporation