Ok thanks for the reply!! Please keep me in the loop if you get any updates and I’ll do the same!! It has been very long for us June 2020 CEC inland folks; I know many people who applied much later than me and have got theirs already. Let’s hang in thereI am not sure if you can do but I wouldn’t because it usually extended by ircc and it is not cheap . Also for second medical you don’t send the results to ircc, doctor sends through their system.