Dilemma or Conundrum of I693 Medical with 485 or after 485 filing

[idliman]

Hello,

My PD is May 2011, and I was not able to submit medicals in Oct 2020. I am planning to get the required vaccinations and get their documentations. My aim is to be ready with all the documents so I get reply quickly to the RFE if and when USCIS sends it. I am following this website for the required vaccinations https://www.uscis.gov/tools/designat...n-requirements

Are there any other tests (other than those mentioned by USCIS) required for medicals?
TIA

If you go to a USCIS approved Civil Surgeon they will peform the tests based on latest requirements. Call different providers and shop around. Also ask them about what happens if the medical is lost or needs to be resubmitted. How much are they going to ask to redo the report.

USCIS - Find a Doctor

[may2011]

If you go to a USCIS approved Civil Surgeon they will peform the tests based on latest requirements. Call different providers and shop around. Also ask them about what happens if the medical is lost or needs to be resubmitted. How much are they going to ask to redo the report.

USCIS - Find a Doctor

thanks!I asked around.The civil surgeon's office recommended getting the blood test done to see what all antibodies we have and to get the vaccines needed.They can sign the form when I get the RFE.

[vedu]

thanks!I asked around.The civil surgeon's office recommended getting the blood test done to see what all antibodies we have and to get the vaccines needed.They can sign the form when I get the RFE.

Please be mindful of the Flu Vaccine. In the non-flu season, they don't give you flu shot and instead mention the "non-flu season" on the form. But if your RFE comes during the flu season, then you are required to take the flu shot and mention it correctly on the form. You don't want to accidentally send the form with incorrect information depending on the timing of the RFE.

[may2011]

Please be mindful of the Flu Vaccine. In the non-flu season, they don't give you flu shot and instead mention the "non-flu season" on the form. But if your RFE comes during the flu season, then you are required to take the flu shot and mention it correctly on the form. You don't want to accidentally send the form with incorrect information depending on the timing of the RFE.

thanks!! will keep that in mind!

[may2011]

August 7, 2018
To
USCIS
----- Service Center

Sub: Request to Interfile I-693 Medical Report to Pending Form I-485 (Adjustment of Status)
[A# 231-010-000]
Dear Sir/Madam,
My Adjustment of Status (I-485, Receipt # SRC100000005) application is pending. The visa numbers for my category (EB2-India) are current for my priority date according to the most recent Department of State Visa Bulletin.
I request you to interfile my I-693 (Report of Medical Examination and Vaccination Record) form signed by the Civil Surgeon to the pending form I-485.
I am enclosing the following documents in support of my request:

• Copy of I-797C, Notice of Action, Receipt of filing I-485
• Sealed I-693 Medical Report signed by the Civil Surgeon
• Copy of driver's license (North Carolina)
• Copy of passport's biographic pages

Kindly approve my request to interfile and connect this correspondence to the corresponding file.
If you have any questions or need additional information concerning the above, please do not hesitate to contact me. Thank you in advance for your kind attention in this matter.
Sincerely,

First LAST
1000 Pruce Lane, Concord, NC 28261
Cell 000-100-2001
Email: whatis@who.com

Here's the PDF of the above Request Attachment 1782.

thanks for the format

[maverick2010]

Quick question:

I'm planning to interfile and did my medicals yesterday. Should I include primary & secondary civil surgeon sealed envelopes with a cover letter in single package (or) separately?

Thank you!

[may2011]

Quick question:

I'm planning to interfile and did my medicals yesterday. Should I include primary & secondary civil surgeon sealed envelopes with a cover letter in single package (or) separately?

Thank you!

I think better send it in 2 separate enveloped with their own cover letter as both will have different receipts numbers.Do update your progress in the forum

[donkeykong]

Hi,
I'm in the same dilemma as well. Has anyone had success with interfiling I-693 after AOS? My attorney refused, so I am planning to file on my own.

[SaibabaAug2010]

Hi Guys,

I sent our medicals without RFE on 05/27 and I have chosen package delivery date as 06/01/2021. Here is the cover letter I used to send medicals. As expected there is no acknowledgement so far after package was delivered. I was hoping either GC approval or medical RFE will be triggered by sending medicals, but nothing happened as of now. I raised SR for I-131 out of the processing times and reached congresswoman in the meantime with the hope that something or the other will help. I'll update If there is any progress on my case.

Address and contact details

Date

USCIS, Attention: Adjustment of Status
850 NW Chipman Rd
Lee?s Summit, MO 64063

Sub: Request to Interfile I-693 Medical Report to Pending Form I-485 (Adjustment of Status)
Case#: MSCXXX
A#: XXX
DOB: XXX

Dear USCIS officer,
This is to bring to your notice that I, xxxx, A# xxxx have applied for Adjustment of Status (I-485) with Receipt Number xxxx. My I-485 Receipt date is xxxx at National Benefit Center and our Priority Date is xxxx ? EB2 India.
We herein submit Form I-693 sealed envelope (medicals) from civil surgeon to interfile with our pending Form I-485 Adjustment of Status Applications. Since our priority date (xxxx ? EB2 India) is current as per June 2021 visa bulletin and visa numbers are available, we kindly request the service to accept our I-693 and update our applications so visa can be allocated.
The attached supporting documents are current and provided for your reference to update / interfile I-693 records with my pending 485 application:
The following are attached in this package:
1. Copy of I-797C, Notice of Action, Receipt of filing I-485
2. Sealed I-693 Medical Report signed by the Civil Surgeon
3. Copy of driver's license
Thank you for your assistance in this matter. Please do not hesitate to contact me should any questions arise.

Sincerely,

xxxx

[maverick2010]

I interfiled my medicals today. If it doesn't work out, I'll think I paid lawyers little extra

[idliman]

I interfiled my medicals today. If it doesn't work out, I'll think I paid lawyers little extra

I would have done it if I was in your situation. Wishing you the best. Let us know what happened in one or two months.

2012 folks may also need to send G-325A if it had expired.

[maverick2010]

I would have done it if I was in your situation. Wishing you the best. Let us know what happened in one or two months.

2012 folks may also need to send G-325A if it had expired.

Thank you idliman! This would have not been possible without your guidance.

[PDAUG2011]

How do you get a confirmation that your file is updated with i-693 once you interfile it?

My lawyers interfiled my medicals a week back, so it has not been too long. But just wanted to stay on top of that.

[may2011]

How do you get a confirmation that your file is updated with i-693 once you interfile it?

My lawyers interfiled my medicals a week back, so it has not been too long. But just wanted to stay on top of that.

USCIS mostly won't proactively inform you.Many people on trackitt called the USCIS customer service or chatted with EMMA to know if medicals were linked to their application.Hope this helps!

[may2011]

Hello,

My PD is May 2011, and I was not able to submit medicals in Oct 2020. I am planning to get the required vaccinations and get their documentations. My aim is to be ready with all the documents so I get reply quickly to the RFE if and when USCIS sends it. I am following this website for the required vaccinations https://www.uscis.gov/tools/designat...n-requirements

Are there any other tests (other than those mentioned by USCIS) required for medicals?

TIA

Posting an update on medicals;

1)So we went to the civil surgeon.They charged each one of us an administrative fee of USD 75.They billed rest of the tests to our insurance provider.
2)They checked our medical records.They did not accept a doctor's note from India.Spouse had to get her vaccinations (MMR 2nd dose, varicella, Hep B titer) at her US university as a prereq. The civil surgeon accepted spouses medical records.Apparently the people at USCIS who check this are not very well versed in vaccination schedules.So its best if we don't confuse them further.
3)They need records for TDap within the last 10 years.Both of us had that.
4)They did a blood test for TB, Syphilis for both of us.They ordered a blood test to test for MMR & Varicella antibodies for me (as I just had a doctors note from India to prove my vaccination schedule).
5) TB, Syphilis tests were negative.They mentioned that if the TB test was positive we will need a chest Xray.So they preemptively ordered a chest Xray incase we need to use it.This was to avoid delays and further visits.
6)They found antibodies for MMR.Had to get a varicella shot
7)If we decide to send the medical form during a flu season, they will give us a flu shot.
8)The civil surgeon agreed to sign the form at a later date when we get the RFE.I am thinking of interfiling medicals in a week or so.

My company will be applying for premium processing of I-140 amendment (company name change) this week.Should I wait till -I140 is approved to interfile send medicals or can I get an RFE for 485 while my I-140 is pending?

[PDAUG2011]

USCIS mostly won't proactively inform you.Many people on trackitt called the USCIS customer service or chatted with EMMA to know if medicals were linked to their application.Hope this helps!

may2011,

Thanks for the suggestion. I called USCIS and the agent told me that they don't see anything related to medicals in my file. Maybe it may take some time, I will call and check after a couple of weeks again.

Other members,

Please respond back if you have any other suggestion for my original question.

Thanks!

[insane.yogi]

May2011 - interested to see responses for your query i.e. wait to interfile till I-140 is approved.

[gsingh]

For the folks who are current for FA in the July bulletin , is now a good time to interfile and send the medicals or do you suggest to wait until beginning of July.

[abcx13]

I guess before deciding where to send medicals, first we should check if application is at Service Center or FO? Interesting thread on Trackitt -

https://www.trackitt.com/usa-discuss...page/last_page

[gsingh]

I guess before deciding where to send medicals, first we should check if application is at Service Center or FO? Interesting thread on Trackitt -

https://www.trackitt.com/usa-discuss...page/last_page

Per live chat agent , my application is at TSC. Hope that doesn't change until medicals are attached to the application. Sending medicals tomorrows

[PDAUG2011]

How do you get a confirmation that your file is updated with i-693 once you interfile it?

My lawyers interfiled my medicals a week back, so it has not been too long. But just wanted to stay on top of that.

As I mentioned in my above post, my lawyer interfiled my medicals. They sent it to Chicago Lock Box and based on FedEx receipt, the Lock Box received it on 06/09. However I was informed by a live agent yesterday that they have mailed an RFE on 06/25. Yesterday, my 485J got approved and I have not received the RFE yet. Assuming that it is for medicals (I can't think about anything else - please share if anyone else has an idea about other possibilities), what are my options?

[LightAtEndOfTunnel]

Hi Guys,

I sent our medicals without RFE on 05/27 and I have chosen package delivery date as 06/01/2021. Here is the cover letter I used to send medicals. As expected there is no acknowledgement so far after package was delivered. I was hoping either GC approval or medical RFE will be triggered by sending medicals, but nothing happened as of now. I raised SR for I-131 out of the processing times and reached congresswoman in the meantime with the hope that something or the other will help. I'll update If there is any progress on my case.

Address and contact details

Date

USCIS, Attention: Adjustment of Status
850 NW Chipman Rd
Lee?s Summit, MO 64063

Sub: Request to Interfile I-693 Medical Report to Pending Form I-485 (Adjustment of Status)
Case#: MSCXXX
A#: XXX
DOB: XXX

Dear USCIS officer,
This is to bring to your notice that I, xxxx, A# xxxx have applied for Adjustment of Status (I-485) with Receipt Number xxxx. My I-485 Receipt date is xxxx at National Benefit Center and our Priority Date is xxxx ? EB2 India.
We herein submit Form I-693 sealed envelope (medicals) from civil surgeon to interfile with our pending Form I-485 Adjustment of Status Applications. Since our priority date (xxxx ? EB2 India) is current as per June 2021 visa bulletin and visa numbers are available, we kindly request the service to accept our I-693 and update our applications so visa can be allocated.
The attached supporting documents are current and provided for your reference to update / interfile I-693 records with my pending 485 application:
The following are attached in this package:
1. Copy of I-797C, Notice of Action, Receipt of filing I-485
2. Sealed I-693 Medical Report signed by the Civil Surgeon
3. Copy of driver's license
Thank you for your assistance in this matter. Please do not hesitate to contact me should any questions arise.

Sincerely,

xxxx

Was there any update on your case ?

[Waiting4GC]

While chatting with Emma today, the agent suggested that sending medicals without RFE may delay the case processing. He was kind enough to provide the following explanation when asked:

"..they could be lost after arriving and not applied to your case. If that happens, we would also have a hard time finding it because an RFE was not issued. That's just one scenario that I have seen.."

My interpretation: It seems that when you send an unasked document, some noting is done on your case. By seeing this noting, the case officer may not issue RFE assuming you may have already sent the document. But there may be a time gap between noting the unasked document and actual scanning or attaching the document to your case file and the document may get lost or delayed in the meantime.

It seems a plausible scenario, and we may need to consider this. But of course, everyone needs to weigh pro-cons and make up one's mind about this.

[LightAtEndOfTunnel]

While chatting with Emma today, the agent suggested that sending medicals without RFE may delay the case processing. He was kind enough to provide the following explanation when asked:

"..they could be lost after arriving and not applied to your case. If that happens, we would also have a hard time finding it because an RFE was not issued. That's just one scenario that I have seen.."

My interpretation: It seems that when you send an unasked document, some noting is done on your case. By seeing this noting, the case officer may not issue RFE assuming you may have already sent the document. But there may be a time gap between noting the unasked document and actual scanning or attaching the document to your case file and the document may get lost or delayed in the meantime.

It seems a plausible scenario, and we may need to consider this. But of course, everyone needs to weigh pro-cons and make up one's mind about this.

EMMA agents are sitting in tier-3 support desk with very limited visibility into case-file with a just a little more than what you can see on USCIS case status portal. Their answers are vague at best and do not provide much insight . Their understanding of internals of USCIS processing also is quite limited. It highly depends how motivated the agent was during the early orientation/training sessions. They can get by their daily work without having to use much of those things. So the way it works (at least at NSC) based on my own research is that when you send a mail, it gets sent to a shipping and receiving center building for USCIS. I heard it is not co-located with the NSC. They have 3rd party contractors in charge of mail sorting. They typically scan the mail and deliver it to I-485 case officers'/adjudicators' mail list. Depending on how motivated case officers feel that day one may see your I-693 attachment and upload it correctly to your I-485 case ticket created for you. There is no physical paper pushing involved. It's practically impossible to lug around 800 pages per I-485 case filing with tens of thousands of those. In my opinion interfiling may or may not help you case but it won't hurt your case certainly.

[longwaitgigu]

Hi Guys,

I sent our medicals without RFE on 05/27 and I have chosen package delivery date as 06/01/2021. Here is the cover letter I used to send medicals. As expected there is no acknowledgement so far after package was delivered. I was hoping either GC approval or medical RFE will be triggered by sending medicals, but nothing happened as of now. I raised SR for I-131 out of the processing times and reached congresswoman in the meantime with the hope that something or the other will help. I'll update If there is any progress on my case.

Address and contact details

Date

USCIS, Attention: Adjustment of Status
850 NW Chipman Rd
Lee?s Summit, MO 64063

Sub: Request to Interfile I-693 Medical Report to Pending Form I-485 (Adjustment of Status)
Case#: MSCXXX
A#: XXX
DOB: XXX

Dear USCIS officer,
This is to bring to your notice that I, xxxx, A# xxxx have applied for Adjustment of Status (I-485) with Receipt Number xxxx. My I-485 Receipt date is xxxx at National Benefit Center and our Priority Date is xxxx ? EB2 India.
We herein submit Form I-693 sealed envelope (medicals) from civil surgeon to interfile with our pending Form I-485 Adjustment of Status Applications. Since our priority date (xxxx ? EB2 India) is current as per June 2021 visa bulletin and visa numbers are available, we kindly request the service to accept our I-693 and update our applications so visa can be allocated.
The attached supporting documents are current and provided for your reference to update / interfile I-693 records with my pending 485 application:
The following are attached in this package:
1. Copy of I-797C, Notice of Action, Receipt of filing I-485
2. Sealed I-693 Medical Report signed by the Civil Surgeon
3. Copy of driver's license
Thank you for your assistance in this matter. Please do not hesitate to contact me should any questions arise.

Sincerely,

xxxx

Have you got any update on your case
Like rfe or approval
I have interfiled using the guidelines provided in this forum
Please update
RD- November 9
ND- February 5
Biometric- may 18
Interfiled on 7/13
No updates since then