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Best Practices and Tips while responding to Medical (I-693) RFE?

I recently received an RFE for medical. I have already received a signed and sealed envelope from my doctor. What are some tips and best practices for sending the sealed medical report? Should I include a cover letter and/or a copy of my I-485 Receipt. The RFE states that a copy of the RFE must be included in the reply. Does this mean the original copy or a photo copy?

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source https://www.reddit.com/r/immigration/comments/k4dnb3/best_practices_and_tips_while_responding_to/

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