If you are talking about the medical exam for the cedula, that is done by government doctors at the place where you file your papers. You pee for them so that they can test for drugs. They listen to your chest for TB and voila... the hardest part is getting all the papers in order... usually.. or at least I have found twice, that once you start the process there will be another paper to get .. and the other ones will expire.. etc. etc. The reason you are pleased with no red tape is that you have not yet dealt with the government here. They ADORE red tape. Welcome and hold on to your optimism.. Can anyone post Ginny's. Lambada;s steps to cultural acclimation?