There are two options for medical 1. You can do upfront medical where you don't need MR from IRCC, 2. Do medical after receipt of MR. In your case your lawyer is asking for medical based on ADR by IRCC so he must have letter as well. Anyway, you must go for upfront medical to avoid any delay ad per my understanding.No he did not receive any medical request letter just they mention on my additional information requirement form i have to do my medical as soon as and may i will get medical request letter as soon as