hi~
i can tell you about clerances, you need one for each state you lived in for more than 6 months since you turned 18(or your husband whichever one is from the states) Here is a link on addresses and instructions.
http://www.geocities.com/canadian_im...lub/state.htmlfor the federal- they will just stamp the back of your fingerprint card "No Record" and you send that in with your apps.
the Doctor exam, you need to send the Appendix B in with your app, and the doctor will send in the rest.
Send everything in at one time so there is no dely, are you applying outside of canada?