I'm not sure about OINP, but part of the requirements for AOR is an upfront medical test. You can do this with, or without IRCC's ITA letter. However do consider that, your CoPR expiration date is directly tied with your medicals expiration date. That being said, you might want to think twice before doing the medicals without IRCC's say so, or at least do it after ITA.medical test for OINP?
what's the upfront medicals that folks are talking about, is it possible to do it without EE IRCC's request letter to do it?