Back in October 2018, we applied for Permanent Residence (Green Card) in the USA. We initially did not include the medical examination (Form I-693). The form said that we can submit it at a later time, which, I thought, made sense.

So in June 2019, I sent our Forms I-693 to the USCIS. It had a cover letter and included the receipt numbers for our application, as well as our A numbers.

As it turned out, we should not have done that.