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Hi there! In a nutshell: application was approved October 11th, flash forward and case was sent from NVC to U.S. Embassy in London on November 28th. Its December 13th and we are apparently waiting on a letter that allows us to book the medical, and then the interview? This letter has still not arrived. Should we be concerned? Do we reach out to the embassy, or the NVC for the letter? The procedure is unclear as it says that we should start making all appointments, but that we need this letter (thats never come) to do so. A little lost - thanks for any guidance here!