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being out of status in the usa is a big big problem for you on its own. the best advice I can give you is that when everything is ready rent a car and drive up to canada with your american spouse. when you do that you will be barred to entering the US for 10 years if you overstaied for more...

As far as I know... Yes she can have medicals done in India, you need to look up CIC website to find out if they have designated doctors in India... or where is the nearest one for India... This is quite a significant addition to your application, she will have to clear medical exams and...