Friends,
1) Upfront medicals can be done at Any authorized medical practitioner by CIC. (Preferably doctors who have e-med facility)
2) You have to have UCI and Application number to go through up front medicals.
3) Doctors can generate UMI for each one you (all persons in the application)
4) Once medical are done, wait for a week ask Doctors to reaffirm that medicals are ok and they have uploaded to E medicals (Through which VO have access to to your medical records).
5) Send a scanned copy of your medical reports to Local VO office and send another copy by FAX (Attach all your details in correspondence for easy identification of your file).
6) One they receive your documents; they will review and update your ECAS.
7) You are done..
Notes:
1) In this case, you are sending the medical reports to Local Processing office even before they request medicals.
2) Medicals are valid for 1 year. So don't worry.
3) Go for upfront medical only if you are confident. (It is expensive to go second time for medicals US $450 per person)