dreamteam: Your medicals do not go to Accra directly, medicals are forwarded to Regional Medical Officers, and Accra falls under the Paris Regional Medical Office - so your medicals go to Paris for assessment, after which the Meds officer then uploads his assessment of your medicals into your caips file, or fills in a form which is then faxed/e-mailed to Accra visa office. Accra only logs into your caips to see the assessment of the regional medical officer.
It is the responsibility of the DMPs to forward your medicals to the regional office in Paris. Sending it directly to Accra would be futile and just a waste of time, as Accra would still have to send it to Paris for assessment/interpretation. DMPs in Lagos know what to do. As per which of the DMPs to go to, its neither here nor there, folks will only advise you on what they have experienced. I have come across people who have had pleasant reports to give about both, and i'm sure you will come across others who will only have sad tales to tell about the two of them. I am yet to hear of anyone who's had a case of their medical tests being swapped or wrongly done by either of the DMPs in Lagos. Those two have worked for CiC for donkey years, and are subject to regular Audits and checks, so don't see a major problem there.
At this stage, your PR is just at your fingertips barring any unpleasant surprises- touchwood. Commonest issue during medicals is "inactive TB" and probably HIV, and even then in the case of TB - the presence of this does not translate to refusal, only a delay of say 3-4months to allow further tests to be carried out, and sufferers get issued a TB surveillance form to take along to canada.(pls o, i only stated the commonest of the issues that pple have worldover, that isn't your portion)
On the NIPOST thingy- I have seen cases where applicants have done meds without the hardcopy of the med request(in UK), but usually the DMP would not forward the Meds to the regional meds office unless they receive the hardcopy request, and you might have to do Chest xray again if it should be more than a month old before it gets to the RMO in Paris. The example cited by Jada is the first i have come across where the meds have been processed without the hardcopy, things change pretty quickly in CiC, and i'm getting out of date with this canadian stuff...but that's a loophole sha IMO ...lol A simple call to the two DMPs should throw more light on this for you.
hehehehe!