This gives me hope. We have been in refused status with a 221(g) since March 2024. My fiance had to take random drug tests as a result. But on 10/25/24 we received a notice that his passport was being released and to refer to the 221g which says nothing other than Medical Documents must be submitted. After each of his exams, IOM submits the documentation. He went to IOM today because they called him for a random drug test. Upon appearing he told them that his passport had been returned but he had not picked it up from DHL yet. The IOM doctor advised him to go pick up the passport and see if a letter accompanied it and then return. We are confused as to what is happening here.