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We just had this same situation. We didn’t use their envelope and just sent out Medicals with the RFE letter
Chief
Staple envelope to the RFE notice itself. Paper clip the RFE notice to the sealed medical. Put that in envelope/packaging spacious enough to fit the medical. Ship out.
You’re not required to use the provided envelope. No penalty if you don’t include either. But generally speaking, it is preferred, by USCIS, that you do.