I have passed the medical exam in January, it expired and they requested to pass it again.
These are the steps they sent me :
STEP 1: UPDATE YOUR APPLICATION
If any of the following conditions apply, you must inform us immediately via e-mail to: CIC-OTTAWAIMMIGRATION@
cic.gc.ca.
Marriage or common-law union, divorce, annulment, legal separation;
Death of the sponsor, the principal applicant or any accompanying family member;
Birth or adoption of a child, including grandchildren born to dependent children;
You, the principal applicant, or any of your family members have been charged or convicted of a criminal offence.
STEP 2: CONFIRM YOUR PLACE OF RESIDENCE
If you and all family members included in the application are in Canada, you are not required to submit your
passports or apply for an authorization to enter the country. The IRCC office responsible for issuing your Confirmation of
Permanent Residence will contact you to make an appointment to finalize your application.
If you and/or your family members are NOT currently residing in Canada, you need to advise us of your current
place of residence as this may impact the issuing procedures of your Confirmation of Permanent Residence and/or visa.
Please advise us immediately by e-mail to:
CIC-OTTAWA-IMMIGRATION@cic.gc.ca
***Please note that Confirmation of Permanent Residence and permanent residence visas cannot be issued to holders of
Diplomatic, Official or Military passports. You must have an ordinary passport.***
STEP 3: PREPARE YOUR DOCUMENTS
When you receive communication from the responsible IRCC office for your appointment, please make sure to
bring the following documents:
1. Original Passport(s) for all people included in the application.
2. Two (2) photos of yourself and of each accompanying family member. See our specifications at:
www.cic.gc.ca/english/information/applications/guides/pdf/5445EB-e.pdf