swam

This occurred in Switzerland.  My fiance went for her medical exam 2/6/17 and requested a copy from the doctor to use for the i-485 change of status after we are married.  The doctor didn't know anything about making a copy and said they could not make a copy.  We will be apply for change of status and want to reuse the medical exam.   Is the exam on file with the some entity of the US government so it can be reused?  Should we go back to the doctor and provide further instructions?  Just don't want to pay 2x for the medical exam.   Thank you for any help.

Hello Swam,
So similar to me, I submitted the form I-129F on October 11th, I received an email confirming they were going to process our application and gave us a Receipt Number, which we use to check the status at the USCIS webpage. Now it says form I-129F is approved (NOA2) but we haven't even received NOA1, nothing. I wonder if this is happening to more people as I read your post?