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In this practice pointer, immigration attorney John Korabik discusses adjustments of status for K1 visa holders. He clarifies that a new medical examination is required only if the Form I-485 is filed more than one year after the initial medical check-up conducted at the U.S. embassy. The initial check-up ensures applicants do not have health issues affecting admissibility. Korabik emphasizes the vaccine requirement; if vaccines are administered overseas, applicants should include Form DEA 3025 in their adjustment application or present it at the interview. If vaccines were not received overseas, applicants must visit a civil surgeon and complete Form I-693.