You can still contact them as an outland refugee. Keep in mind if you do that, there's a possibility for more future delays UNLESS your case is urgent or considered a priority. Do check out this link before proceeding with filling out the Web form. Good luck.
https://www.cic.gc.ca/english/contacts/web-form.asp thank you so much I just wanna ask you if something wrong with medical exam will they contact to me immediately they just asked me sputum and X-ray and I did that my additional test was clear what’s my chances to pass medical exam