US Immigration from Russia

What if I am a K nonimmigrant visa holder and already had a medical examination overseas?

If you were admitted as a:

1. K-1 fianc (e) or a K-2 child of a K-1 fianc (e); or

2. K-3 spouse of a U.S. citizen or a K-4 child of a K-3 spouse of a U.S. citizen; and

3. You received a medical examination prior to admission, then:

   1. (1) You are not required to have another medical examination as long as you file your Form I-485 within one year of an overseas medical examination; and

      (a) The panel physician did not find a class A medical condition during your overseas examination; or
      (b) The panel physician did find a class A medical condition, you received a waiver of inadmissibility, and

      you have complied with the terms and conditions of the waiver.

   2. (2) Even if a new medical examination is not required, you must still show proof that you complied with thevaccination requirements. If the vaccination record (DS 3025) was not properly completed and included as part of the original overseas medical examination report, you will need to have the Part 10. VaccinationRecord completed by a designated civil surgeon. In this case, you must submit Parts 1. - 5., 7., and 10.

      of Form I-693.
      

Does this question and explanation relate to the initial AOS application or AOS interview? When I filed my AOS application, I did NOT include any I-693 form because my sealed medical envelope was kept by the the overseas consulate as part of my visa interview.

But for the AOS interview, do I need to get a new medical examination? I am confused because, as explaned here (https://www.uscis.gov/policy-manual/volume-8-part-b-chapter-4#S-C-4), I may be required to bring a new medical examination report (see the part highlighted in boldface)

Timing of the Submission of the Medical Examination Report

Applicants may submit the Form I-693 medical examination report to USCIS:

• Concurrently with the immigration benefit application; or

• At any time after filing the immigration benefit application but before USCIS finalizes adjudication of that application. If not submitted simultaneously with the immigration benefit application, applicants may bring the medical examination report to an interview or wait until USCIS issues an RFE requesting the medical examination report.

Any help is appreciated.

Thank you