i think medical exam is one of the requirements before submitting your application as per the checklist. i am set to take my medical exam on monday but i plan to officially submit my application by the end of this month.nipuns1 said:I have a question though after ITA do I have to go for a upfront medical or cic will inform for a period of 30 days when the medical has to be done. I am on a open work permit in canada