>does the medical certificate needs to be in english and where could I find an example please?
The medical certificate is a form your doctor will complete. A copy can be found at
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/Medical-Certificate-Form-For-Non-Immigrant-O-A-Long-Stay-Only.pdf
>do we really need a return flight??
No you do not, but the visa only lets you stay for 270 days
>what is the delay with e-visa?
I don't know what delay you're referring o.