Guys, I have uploaded my family's old medical from 2018 along with tr to pr intl. grad application.
My understanding is we should NOT do upfront medical after submitting the application . After submission, IRCC will request another medical (if needed) using a different form/letter which we have to take to the panel physician to complete the med exam. Hence, upfront exam won't work here. That's how it works in express entry also.
tr to pr guide says - "If we cannot use your old results,
we’ll send you instructions on how to get your medical exam done after you submit your application."
is my understanding correct?