as a K1 visa holder do I need to include a I-693 with my 485 packet
If you did the medical exam outside the USA and it's still within a year you don't have to redo it. You have to provide DS-3025 to prove that you have all the vaccines you need. If your DS-3025 expired, you have to redo the exam and have an immigration doctor do the I-693 report for you. https://diysimpleidea.blogspot.com/2020/05/diy-k-1-visa-adjustment-of-status.html#medical
Adjustment of Status (Green Card) Guide for K1 and K3 Visa Holders
in US Immigration & Visa Guides
Posted
If you did the medical exam outside the USA and it's still within a year you don't have to redo it. You have to provide DS-3025 to prove that you have all the vaccines you need. If your DS-3025 expired, you have to redo the exam and have an immigration doctor do the I-693 report for you. https://diysimpleidea.blogspot.com/2020/05/diy-k-1-visa-adjustment-of-status.html#medical