Hmmm I am not sure. You can call CIC and ask if you still need to send in medicals if you're applying under the LCP but have submitted medicals when you first worked as caregiver-TFW . Could save you about $200.00 for the medicals. Call early o you could talk with an agent.
Thanks for the help and I am not applying for PR right but LCP program. I did pass medical exam before I came to Canada in 2009 as a study permit and obtain the work permit as LCP(Temporary worker program). That is why I reapply the LCP program so I will be eligible to apply PR after 2 yrs working.
So the right way to do this is still doing the medical exam and send the result along with the application form to seattle, right?
Vic