Well in other words "Here in NDVO we don't work that often and we are also very lazy to tell you to send in your medical or other documents. Best advice for you will be to send all the information and even your medical. And don't worry when the time will come to issue the visa you need to re-do the medical again. Don't ask us why as our job is to just update the information on the web site and we don't even check it at the interview if your medical or PCC is expired. We love to torture you guys as we don't have a life as well in short enjoy our torture and don't contact us by phone, email, and fax. We will not communicate with you and we will not co-operate with you have a super sucky day"