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You need to sent them a response stating that you have ALREADY done the medical and send along a copy of the receipt you got from the doctor. Advise them that if you don't hear from them in 30 or 45 days you'll assume they have found your medical and another is not required. Alternatively...

Hi dawlex. Same thing happen to me. CIC request another medical report and the doctor decline to do it. Let me know the reply of your letter to the immigration. Good luck

Hello. Can someone help me out. I apply for PR as convention refugee in December 2011 and got married with my spouse in april 2012. Can i include her in my application as my spouse and that will not delay my application?. She is now in canada. Give me your advice.