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Physical Exam in Italy (Suzhou)

I have a question for any of the Italians now living Suzhou. Did anyone have to do a physical exam in Italy in order to apply for the work permit that is needed for a Z Visa? My understanding is that the physical exam is only done in China after getting the Z Visa, and not in Italy before getting the Z Visa. I would be thankful for any informations anyone could provide.