I got my sponsorship approved in late 2002, my parents delayed a bit to submit the application forms (in August 2003 I think), last October the Embassy asked them to re-submit some materials, now, they got the letter to do the health check...
What procedures? It is ok to pay it on-line? I have the same situation and need to pay Right of Permanent Residence Fee for my parent. I called CIC, they said for my case I can not do payment on line. I need to request a formal receipt, to pay it in any bank, then send the receipt back to Mississauga.