I just finished my medical in Vaughan, Ontario for my I R1 Spousal Visa. The experience was pretty good for anyone that is stressed about the whole experience as I was. There are only 3 offices in Ontario and his was closer to me as going to Toronto is also more complicated with traffic etc.
Dr. Zatzman’s office was easy to find and you don’t need any pictures at stated on government site. They take a picture for your file. Cost $260 plus $20 for courier. Michelle was very courteous and helpful. I paid my fees and showed my passport and immunization records and then got called into see the doctor. He was very pleasant and we had a nice conversation and then I went for xrays$70 and lab work which consisted of blood and urine sample for $30. It was fairly smooth and I was done in a little over 2 hours. Now just wait for package and next Montreal!