You were never requested medical?
lol Its actually my brother family case.
My bro is too busy now because of 2 jobs.
I am already citizen and living with my family from last 20 years.
My bro had arrived on work permit, when my bro got PR in Jan 2018, there was a request on same PR documents that another form needs to be sent with in 90 after landing in Canada, it was regarding his family.
He landed in Canada as permanent residence in March 2018
He couldn't send that form and he lost his opportunity, otherwise long before his family was here.
His family medical done in 2017 when their case in process with my brother PR case
CIC requested to resubmit application as a new case.
He submitted another application and received in March 2019
CIC didn't ask for medical, yeah only Biometric in June 2019
His application transferred to LVO in Nov 2019
LVO requested to clarify some concerns in Jan 2020, Immigration officer has clearly mentioned in his letter that I am giving you this opportunity to answer me these questions and I will issue a visa.
There was some concerns in LVO letter why the sponsor couldn't stay in Canada during processing of his sponsorship application.
My brother had spent his most of the time in Pakistan because of some family issue, the reason was genuine.
Reply sent to LVO within due time frame in Feb 202
Let's see what would be the next and when ??