@Dimilitantey are you still waiting for MR? If so, I advise you contact AVO direct regarding this. Also, send them WebForm enquiry, contact MP, and order your GCMS notes.
I honestly think they skipped you, please find out what's going on. An April 2020 applicant just received PPR, I believe very soon you'd be next (maybe in September or sooner).
However, you need that MR. Again, send them a direct email,
Subject line: (RE: UCI # - your name - PR in Canada - Urgent: Lost File (Medical Request)).
Let them know that you're a July applicant, should have received MR Dec 2020/January 2021... You believe you've been skipped... Application has reached a year
(I'm not sure what day in July you're application was received)... and you'll be contacting MP to follow-up regarding this matter....
Send.