Thanks for your response. I am little confused because of the answer of that question on CIC, what do you think about it?
http://www.cic.gc.ca/english/helpcentre/answer.asp?qnum=381&top=29
Do I need a medical exam to apply for permanent residence, if I’ve already had one for my permit?
Yes. Even if you had a medical exam previously, all applicants for permanent residence must have a medical exam.
A medical exam is needed to make sure that:
- you pose no health risk to the Canadian public and
- neither you nor a family member will place too much demand on Canada’s health, education and social systems.