I 693 medical form: the surgeon agrees to sign the form again as the RFE came after 60 days of the initial signature, but my concern is, the lab is done 2 months back, and even the signature is provided again, USCIS will question why there’s a 2 months gap between labs & signature right?

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Can I simply provide this rationale: I prefer to have lab down, but I don’t know when USCUS sends the RFE, that’s why I want to secure my labs first?

Read the requirements on the USCIS website. It has to be signed at most 60 days before filing of form I485 and is valid for two years. So if you got the Medicals after filing you are OK for the next two years.

i693 instructions

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