Instead of waiting for MR, I guess doing an upfront medical would helpHi, this is the standard answer to anyone who send them an email requesting information. My file has the last update on February 20, since then is on PNP- Med - Not Started. I updated my work permit in July, but still nothing change on my application. I am inland SINP Job Offer from September 2016... Has all info updated, paid everything, just waiting for medical request.... I think we have to have a lot of patience on this...