My spouse got a notice in his USCIS account that there was an RFE for the AOS because they needed form I-693, which he didn't include in the original AOS packet he sent to USCIS. My spouse followed the instructions in the RFE and used the find a doctor link to find a Civil Surgeon to sign the form, give him the vaccines he needed, and include the COVID-19 vaccines he got.
This is what the RFE said:
I was under the impression that if you filed the I-485 (AOS) within one year of the overseas medical exam, which we did, you didn't need to redo the medical. The medical examiner back in the UK found no class A medical conditions. In the instructions for form I-693 it says the following:
So today, we went to the Civil Surgeon, and he insisted he needed to do the whole medical. We explained that my spouse entered on a K1, and we filed the AOS within one year of the overseas medical. I tried to show him the page with the above information from the I-693 instructions, but he didn't even look at it. The doctor glanced at the RFE and said, "I do this all the time, I know what I'm doing," which I'd like to believe, but I'm getting a lot of conflicting information. I held the instructions and said, "so this means nothing? Why does my spouse need another medical exam?" He didn't answer the question; he just told me the cost of the medical again. Real helpful. The doctor charged us for a full medical, the Hep B vaccine, and the tests for STDs. All that came to $640! Today he took blood and a urine sample but didn't do the vaccine. He said, "you're done," then left the office. When I tried to ask the nurse at the desk what the next steps were or if and when we needed to come back, she said, "I don't know, we'll have to call you" when I asked when they would call, she also didn't know. She didn't know the answer to anything we asked.
I'm so confused. I thought we just needed the vaccine record. Do we really need to do the whole medical all over again? Is this normal and what we need to do, or was there some miscommunication?
Also, I'm now confused about what office is processing our case. We had to go to the Providence, RI office for biometrics, but the RFE says to mail it to Boston, MA.