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Also, as point of entry I submitted my last entry date which is a year ago, however, i am living here since 2016. What should I do?

Hi Guys! I saw that some people submitted their old Medical Exam and it was fine. In my case, i submitted booking confirmation but i still have to pay $300 which is a lot to me. Is there any way I can submit my medical from 2016 and avoid paying for this one? These "immigration" clinics are...