If you want you can. The recommendation is to go if your timeline has less than one year to finish, because the tests are valid for one year. If you don't get PR before, you would have to repeat the exams.I am inland paper based applicant. I got my AOR in March 3rd 2020. Recently, got my PAL.
Should I go with upfront medical? How is the procedure? Also, is upfront medical even allowed without getting a MR?
To do it, you contact a panel physician and tell them you want to do upfront medicals. Some panels are not accepting upfront.
Once you go, when the results are ready, they send them to IRCC and with your name and passport they are linked to your profile