You can call any panel physician and book appointment and just tell them you need to do upfront medical for PR file. You don't have medical request letter from IRCC. Once The medical is done, panel physician will send the result to IRCC and you need to send emedical receipt through web form to IRCC. You will get emedical receipt from Physician office.Hello Darji,
Can you please tell how to book an medical appointment without medical request letter. Your help on this will be greatly appreciated,
Follow this link to find the panel physicians.
https://secure.cic.gc.ca/pp-md/pp-list.aspx