N-648 Disability Evaluations for the U.S. Citizenship Test
Some individuals applying for U.S. citizenship may be unable to complete the English or civics requirements due to a medical, psychological, or developmental condition.
Form N-648, also called the Medical Certification for Disability Exceptions, allows certain applicants to request an exemption from these testing requirements when a qualifying disability significantly interferes with their ability to learn or demonstrate knowledge of English or U.S. civics.
At Afresh Immigration Psychology, we provide professional N-648 disability evaluations conducted by a licensed psychologist to determine whether an individual may qualify for this medical exception.
What Is an N-648 Evaluation?
An N-648 evaluation is a clinical assessment used to determine whether a medical or psychological condition prevents an individual from meeting the English and civics requirements required for naturalization. A licensed medical professional must evaluate the applicant and complete Form N-648, which is then submitted with the naturalization application.
Conditions that may qualify include:
- intellectual disability
- traumatic brain injury
- dementia
- developmental disabilities
- severe learning disabilities
- certain psychiatric conditions
- neurological conditions affecting memory or learning
Who May Qualify for an N-648 Waiver?
An applicant may qualify if they have a medically determinable physical, developmental, or mental impairment that prevents them from learning or demonstrating knowledge of English or civics.
The condition must:
be medically documented
significantly interfere with learning or memory
be expected to last at least 12 months
The evaluation helps determine whether these criteria are met.
What Happens During the Evaluation?
The evaluation typically includes:
01
Clinical interview
A detailed discussion of medical, psychological, and educational history.
02
Cognitive or psychological testing
When appropriate, brief assessments may be used to evaluate memory, attention, or learning difficulties.
03
Review of records
Medical or educational records may be reviewed when available.
04
Completion of Form N-648
If appropriate, the psychologist completes the official USCIS medical certification form.
Languages
Evaluations available in:
English
Spanish
Turkish
Interpreters available for other languages.