I485的medical examination - 移民

我有先看過精華區和討論區
不過還是有些困惑

最近準備送件I130, I485和先生的I864
我先生是美國公民，我現在是F1

在看I485的填寫說明時
上面提到關於medical examination的段落有兩段
讓我很是不解

7. Medical examination
When required, submit a medical examination report on Form I-693,
Report of Medical Examination and Vaccination Record.

Individual s applying for adjustment of status:
A. General: When filing your Form I-485, include your medical examination
report with the application, unless you are a refugee.


請問是要先去做檢查，才能送I 485嗎?
可是我怎麼聽說是送件後，會收到一份文件，然後才去做檢查。

謝謝!



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