Once USCIS approves the I-129F, the case leaves USCIS. It travels to the National Visa Center and then to the U.S. embassy or consulate in your fiancé(e)'s country, where the visa is actually issued. Two things happen there: a medical exam and an interview.
Your fiancé(e) completes a medical exam with an embassy-approved panel physician — not just any doctor. The consulate provides the list of approved physicians, and the exam has to be done by one of them for the results to count.
A 2026 vetting note: the DS-160 asks for your fiancé(e)'s social media handles going back five years, and since March 2026 K-visa applicants have been required to set their social media accounts to public while their case is being vetted. Restricting access mid-process can be treated as withholding information. It's worth reviewing what's publicly visible — honestly and early — before the case reaches the consulate.
Then comes the interview. It helps to arrive organized. Your fiancé(e) should bring:
We prepare your fiancé(e) for what the interview is like and help assemble the document set before the appointment. More on consular processing →