Salam Bhai,
As per the new temporary policy for study permits for fall 2020, we are allowed to submit SDS application without an upfront medical exam. All we have to do upload an explanation letter instead of medical exam confirmation. Our application will be reviewed and Approval in Principle will be issued if all our finance and reasons are valid. Final approval will grant us a full student permit but that is after when we submit Medical Confirmation, Biometric, and PCC.
The same was suggested by
@jigzyy and I got it confirmed from a student who actually done it. I'm quoting a reference from a Facebook page.
Hope it helps other Students too.
Thanks