technically, there's supposed to a separate med request, as the med exam you've taken has expired. however i've seen ircc recycle med results from previous applications. so, there's always hopei honestly dont know.. i came in canada as a worker (live in caregiver)and since then never been outside if canada..so i dont know if i have to do a medical too since i did all this before i enter canada... they just received my application dec 11 and got AOR jan 15.After i submit my sched A and police cert .they said no additional documents needed.. I"ll let you know if there is a progress