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EB-5 Medical RFEs Surge Post-Case Transfer, Investors Seek Clarity

September 09, 2026 · ImmigrationLawyer Solutions News Desk

TL;DR: EB-5 investors are experiencing a rise in USCIS Requests for Evidence concerning medical exams following case transfers, prompting a need for understanding the process.

Recent reports indicate a notable increase in USCIS issuing Requests for Evidence (RFEs) specifically related to medical examinations for EB-5 investors. This trend appears to be particularly pronounced after cases have been transferred within the system. For individuals navigating the complex EB-5 investor visa pathway, this development raises several important questions. One primary concern for many investors is understanding why these medical RFEs are being issued. While the exact reasons can vary, USCIS typically requests further information or clarification regarding a previously submitted medical examination if there are any discrepancies, incomplete documentation, or if the examination falls outside a specific validity period. The transfer of a case, which can occur for administrative reasons, may trigger a review that highlights these issues. Another critical question is what steps investors should take when they receive such an RFE. The immediate priority is to address the RFE promptly and thoroughly. This often involves scheduling a follow-up medical examination with an authorized physician or providing additional documentation as specified by USCIS. Missing the deadline for response can have serious consequences for the visa application. Furthermore, investors are questioning the impact of these RFEs on their overall processing times. While an RFE is a normal part of the immigration process, a surge in these requests can indeed contribute to delays. Applicants are advised to be patient and to work closely with their legal counsel to ensure all requirements are met efficiently. For those in the Seattle, Washington area who find themselves facing an EB-5 medical RFE or have questions about the EB-5 process, seeking guidance from an experienced immigration attorney is a prudent step. They can help clarify the specific requirements and assist in preparing a comprehensive response to USCIS.

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