Could you please share what is your local visa office? Thanks.In my case they ,MY Medical was expiring on 6 Jun 2017 and i made request to issue a letter for new medical but they Re-assessed the existing medical and update it till 15th Mar. 2018 ... as per last GCMS Notes i got in Aug. there is no agent comments about eligibility Review or no activity done on my file since Mar 2017 , last activity they done is only medical re assessment in Mar.2017