Hi. This is my second attempt at answering your query. I deleted my first attempt because I started to doubt whether I had understood the facts correctly. Now that I have read your previous posts I suspect that you applied for the permanent residency of your husband when you and your husband were both physically in Canada and I suspect that you sent the applications (the application to sponsor and for permanent residency) to Mississauga in accordance with the proper and usual procedure but that your husband's non-accompaning 5 year-old child, who remains behind in Angola with the mother, has only recently undergone a medical, which you have referred to as an upfront medical. The panel physician who examined the child operates a paper-based procedure; so what you should have received after the examination was a Form IMM 1017B. You query however concerns 'the medicals'. What do you mean by 'the medicals'? Surely the doctor did not hand over the full medical report to you? Normally the physician does not hand over the medical report: he sends it off, physically when he adopts a paper-based procedure but otherwise electronically, to the regional medical centre but hands over the IMM 1017B form which is then normallly sent with the application bundle to Mississauga, not to the visa office (Pretoria in your case). Usually nothing is sent by the applicants to the visa office direct unless it is specifically requested by the visa officer. My provisional opinion is that the child's Form 1017B should now be sent to Missisauga to be married up with the rest of the application, and if you do that you should ensure that there is a covering letter explaining in detail what has happened and quoting all the references names and dates that you can think of. If I have misunderstood the facts do please post another query on the forum setting out the facts in more detail. I will look out for it.