Some doctors are practicing in hospitals so they have labs onsite, but not everywhere. We went to a doctor who has a private practice, so he did a 5 min appointment with my husband, took a picture of my husband, asked my husband if he had any surgeries, asked if my husband wears glasses, had him read the alphabet and numbers on the wall, and that was it. haha He gave us 2 envelopes, 1 for private blood lab and 1 for private x-ray clinic and sent us on our way. We went there gave the proper envelope paid the fee and were done in under 15 min in both places.
so the process is, once results are ready for the blood work and x-ray the labs send it to the doctor who request it, and the doctor submits it to CIC so all you have from doctor is just the receipt page (our was 2 pages and in bottom said blood work and x-ray requested).
This form that doctor printed from his PC is what we sent with our application.
Now Ecas shows Medicals received.