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Thanks for the reply shekinah. I assumed as much, but the two numbers I called both insist on the letter. I am confused. Perhaps new rules are in place, since a month ago there supposed to be a lot of clinics you can go to for the Medical Exam. But now the site only lists St Lukes Extension...

Hi Sinubukan ko po isa isahin yung threads sa search "Medical + Manila" pero nde ko po nahanap yung kelangan ko. Sa lahat ng Filipino na nag aaply ng spousal/family class visa ngayong taon. Baka masagot nyo tanong ko. Nasa Canada misis ko PR cya dun at nagaaply ako ng spousal visa. Sabi kc sa...