My husband just called the approved medical centre in Kingston Jamaica and they said that he would first have to book an appointment one week ahead of time and then bring in several things. Like passport, two passport pictures and form from permanent residence package. The results would take around five days and then they will send it to Trinidad & Tobago to process. Is he not supposed to get the results from the medical to send to me with his package to submit to CIC in mississauga? Why would they send it to Trinidad & Tobago the immigration office for Jamaica is in Kingston Jamaica? I read on line that if you are a spouse who is canadian sponsoring your spouse from abroad the spouse from abroad is to get a medical and send results in with their application to sponsoring spouse to CIC in mississauga, am I right. If not let me know how this works.