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A licensed medical professional must complete a Medical Certification for Disability Exceptions (Form N-648) and certify, under penalty of perjury, that the applicants physical or developmental disability or mental impairment prevents the applicant from meeting the English requirement, the civics requirement, or both
A disability exception, which can only be requested by submitting Form N-648, requires an applicant to show that the applicants physical or developmental disability or mental impairment prevents the applicant from complying with the English or civics requirements or both, even with reasonable accommodations.
Authorized Medical Professionals USCIS only authorizes the following licensed medical professionals to certify the disability exception form: Medical doctors; Doctors of osteopathy; and. Clinical psychologists.
An immigration officer may deny an N-648 for insufficiency, lack of credibility, fraud, or material misrepresentation. If your N-648 is denied simply for being insufficient, the immigration officer will proceed with your interview as if you had not submitted an N-648 (testing you on English, civics, and so forth).
Only a medical doctor, doctor of osteopathy, or clinical psychologist licensed to practice in the United States may certify Form N-648. You may contact your state medical board to determine whether the medical professional has a valid license.
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N-648 Frequently Asked Questions On this office visit, you will make a non-refundable payment of $300.00 to schedule the Initial Interview appointment with the Psychologist. You will pay the other $300.00 when the Psychologist determines you meet the criteria to proceed with the Psychological Testing.

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