on my medicals.....this check sign was made by hand.....so in ur case i think its possible that its been missed by mistake...somebody just 4got to put the check sign....so don't worry.....this is what i would suggest u ...
go ahead with ur medical appointment....and when returning back the passport.....send back the copy of this medical request form to them....accompanied by a letter with few lines explaining the situation...that u received this request without any checks....and since u've already sent CHC every other document except medicals...so u r assuming that its only a medical request....and also send the copy of medicals receipt along.....