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What do you mean by Second medical extension pending? Did you get remedical request on Nov 8th 2021?
I got a GU on the 8th that changed my medical exam status from you’ve passed to you do not need a medical exam. My medical were M1 so they just extended it instead of asking for remedicals. But this is the second time they extended it. First time was Jan2021, second time Nov 2021
 
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I got a GU on the 8th that changed my medical exam status from you’ve passed to you do not need a medical exam. My medical were M1 so they just extended it instead of asking for remedicals. But this is the second time they extended it. First time was Jan2021, second time Nov 2021

Did you order GCMS notes? How long were medicals extended the first time? And what do you mean by Second medical extension passed? Any change in portal?
 
Ask Kubeir -
FINALLY! Ready for visa email received...
FSW-O AOR Apr 2019! 2 years and 7 months!
VO Ottawa
May the PPR/COPR rain fall on you soon, especially those with AOR in 2018 & 2019! All the best!

COR please? Medicals extension/remedicals?
 
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Those who did Upfront Remedicals, be patient it works!
FSW-O - Express Entry
AOR - Jan 2020
Upfront Remedical - October 5, 2021
Medical Passed - October 22, 2021
Ready for visa email - Nov 16, 2021
COR - India
Primary VO - Ottawa
Secondary VO - New Delhi