Visa Case f41 has beem in AP since 17 months & now they send an email:
In order to move ahead and process this case , our office would like you to submit the following documents:
1)Updated Medical Examination report from an Embassy approved physician.
2)Updated form-DS-260, submitted online, with an email to our office including the barcode number from the completed form.
3)Two visa photos
once submitted, please send us a confirmation email at https://pk.usembassy.gov/visas/immigrant-visa-inquiries/ . We will then schedule you for an oath & fingerprints
Finish
Now . My family has already done & submitted medical examination . Are we going to do it again? if yes . then how will we submit it to them
Please i would like to have an assistance because i have no idea what to do further