Sarah&Oscar
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Here are some helpful links:
https://egov.uscis.gov/crisgwi/go?action=offices.type&OfficeLocator.office_type=CIV
He DOES NOT need another medical exam. Only a signature on the I-693.
http://www.visajourney.com/content/k1k3aos
Let me know if you have any questions. How do you like being a mom??