Let me enumerate in detail my case. This should answer some questions raised in the forum today
08th May2013 .. Application received at CIC
20th Jun 2013 .. CC was charged
24th Jul 2013 .. "PER" E mail received from CIC (Probably a couple of days later ECAS showed "In Process" - I do not know as I never checked)
05th Sep 2013 .. Received two E mails from CPPO one for MR and other for RPRF and addl Document request
06th Sep 2013 .. ECAS had second added line " We have started processing your application on 6th Sep 13
Medical Request:
The E mail had detailed instructions how and where to get the Medicals done. It also had an IME form in pdf exclusively made on my name with a bar code. This form was generated by CPPO based on my application. I was required to get the form printed and take it with me for the medical.
When I wanted to get an appointment with a CIC Doctor, the receptionist asked for the Reference number printed on my form and she could retrieve all my info in her system since their office is "E-enabled". I got my appointment 1n 10 days. I was asked to bring my passport, the copy of IME form and $ 400 medical fee. Since they are E enabled I was not required to carry 4 copies of my passport size photo. Otherwise you have to provide them with 4 copies of photo.
The medical took close to 1hr 30 min. Mostly waiting time. They do X ray for TB check, Blood test for HIV and cyphillis, Urine test for microscopic exam for blood, albumin etc. and general physical exam by the Doctor. There is no need to go fasting for these tests. The Doctor's office told me that they would send the report electronically to CIC. within 3 days once the lab results come.
(The medical exam costs anywhere between $300-500 [a rip off] across USA and appointment waiting time 3-25 days)
RPRF
The E mail had detailed instructions how to make RPRF payment which is CA$ 490 per adult.
I went to the designated CIC web site, created an account on my name and made the payment through CC for RPRF. At the end of payment the receipt came in a pdf file with bar code(Receipt number) and a few blank columns. You are required to print two hard copies of the receipt; fill the required info in the blank columns in hand writing (Your name, DOB, Client ID,Address, Zip code, and contact telephone numberwith area code); retain one copy for your record and send other copy with other requested docs to CPPO.
That is all what I have done and hopefully I have followed CIC instructions diligently.
Now waiting to hear from CPPO for PPR.
As I can see from the forum, the procedures and requirements adopted by the Visa offices vary.