I am making this post here because it seems like the best place for my question. My fiancée is from Cuba, and although we started down the K1 path, she arrived to the USA on Humanitarian Parole. She has been in the USA now for over a year and we applied for Adjustment of Status (I-485) under Cuban Adjustment Act of 1966. In my area there is a very limited number of USCIS civil servants, so we sent the initial I-485 packet without completing the Medical on 4/12/2024. Today we are finishing the I-693 medical and will have the sealed envelope today 5/13/2024. Our notice date for I-485 is 4/26/2024 and we do have an MSC receipt number for this Adjustment of Status.
Question - Should I send in this Sealed medical now or should I wait until we receive an RFE? If I send it in now, then where do I send it, and do I send it with a letter of some sort explaining what it is?