That sounds like it would explain a lot, I did not look closely to see if intended destination province matched the cases where med request sent later.They later send med who go to Quebec, coz these guys do not work very fast ... they are forced to send a request later, or people need do med again (there are many such cases) or have a short period for landing (i.e. until the end of the medical exam). But Quebec is part of the statement, there are probably other reasons.