NurseAndy

Yes, I had to make an appointment to drop off the I-130 packet, but I got the impression that the "time" of the appointment is less relevant than the day. For example, I think I could have gone there earlier on the day of my appointment, and I don't think they would have cared (but it's best to ask the consulate). I'm not sure if my beneficiary-wife could have dropped off the I-130. You could email the Frankfurt consulate with any question. They respond rather quickly (in a day or two).

My wife did her exam with IOM, including TDAP vaccine, blood tests, and x-rays in Lviv. Then the Russians started shooting missiles at the electrical grid, so she went to Warsaw, got her Johnson's Covid vaccine there, and had the Covid confirmation sent from Warsw to the Doctor that did her exam in Lviv, and that doctor then completed the case. So we started our medical stuff in Ukraine, and finished it in Warsaw... the rule is that doctor that open the case is the one that has to close it, however... Frankfurt said that they will accept any medical exam completion so long as it's CDC approved. That means you could do the medical in almost any country - as most countries have a list of CDC approved medical examiners.

My Ukrainian spouse has her interview soon. I don't know if I could accompany on her interview, but I was told I don't have to be there in-person.

I submitted my I-130 in-person at the Frankfurt consulate on Sept 2, 2022 and was notified for the next step on Sept 8, 2022.

Your medical appointment sounds very close to the interview date. My wife had her physical examination in Lviv - through IOM - and afterward, she required multiple vaccines, including the Covid vaccine, which may require two injections spread out over several weeks (depends on the vaccine version you get - Johnsons is only one dose). That Covid vaccination needs to be done before the medical examination can be completed. Even if my spouse had been fully vaccinated beforehand for all the required vaccines, her medical exam required a blood test and the results can take a few days. The results have to be complete and read by the doctor before the medical examination can be finished. Are you sure you scheduled the medical stuff correctly? In regards to doing your medical exam elsewhere - the answer is YES. I talked to Frankfurt about this, and they said you can complete the exam at any "CDC approved" medical center. You can often find these listed on the US Embassy website in the country you are thinking to do the exam in ( or you can email the embassy in Poland, for instance, if you want to the medical exam in Poland, and they can tell you what doctors are on the approved list). I don't know the answer about moving the Visa interview. Good luck with everything!