jeremiah,my own advice for you is do both medicals and police report upfront.many people who had short processing time with no interview did everything right away.one of the delays with my application was i didnt do medicals and police up front waited for the embassy to contact me,for each time they told me to do medicals,it takes months to process and send to accra.up till now accra has not contacted me for police check and its been 8months now since i applied.MY DEAR I BEG YOU IN THE NAME OF GOD,TELL HIM/HER TO DO BOTH POLICE CHECK AND MEDICALS TOGETHER AT THE SAME TIME,SEND A COPY OF THE MEDICAL DOCUMENT AND POLICE WITH YOUR APPLICATION AT ONCE,SO THAT YOUR APPLICATION IS NOT DELAYED AND IF FOR ANYTHING ITS DELAYED ,YOU WON'T BE IN DOUBT AND REGRET WHY YOU DIDN'T DO IT IN THE FIRST PLACE.AND FOR YOUR INFORMATION,YOUR MEDICAL RESULT ITSELF GETS TO ACCRA LIKE 3MONTHS AFTER YOU DO IT AND ACCRA WILL NEVER ISSUE YOU A VISA UNTIL THEY GET THE MEDICAL RESULT,GO THROUGH IT AND DO THE CRIMINAL CHECK WELL,I.E POLICE CHECK BEFORE ANY INTERVIEW OR VISA.IF YOU WANTS YOUR SPOUSE IN LIKE 6MONTHS MAX,DO EVERYTHING AT ONCE,MAKE YOUR MIND AT PEACE AND WAIT TO BE CALLED FOR INTERVIEW OR VISA,BUT IF YOU WANT TO WAIT TILL LIKE 12-18MONTHS THEN DON'T DO IT,WAIT TILL THEY ASK YOU.AND PAY ALL THE MONEY TOO OO,PAY IT AT ONCE,DON'T OWE ANYTHING,NOT EVEN RIGHT TO PERMANENT RESIDENT.PAY IT AT ONCE.i applied since may and havent heard from accra since september and alot are going through my mind.i wish i saw this forum before sending my application and wish i had done both med and police check at once.different things goes through my mind why its delayed and u tend to blame yourself when you don't do your own part.some people who applied way after me has gotten there visa and i asked most of them.THEY DID BOTH AND SENT ALL REQUIRED DOCUMENTS AT ONCE,INCLUDING PHONEBILLS,FACEBOOK MESSAGES,MAILS,CALLS DETAILS,ACCOUNT/WESTERN UNION DEATILS,ALOT OF PICTURES.SEND ALL PROOFS AT ONCE OOOOO.BETTER TO BE SAFE THAN SORRY.my advice ooooo.end of story