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Begin with Part I, 'APPLICANT INFORMATION.' Fill in the applicant's last name, first name, middle name, USCIS A-Number, and contact details. Ensure all information is accurate and legible.
Proceed to Part II, 'MEDICAL PROFESSIONAL INFORMATION.' The certifying medical professional must provide their details including name, license number, and practice type. This section requires clear answers to ensure compliance.
In Part III, 'INFORMATION ABOUT DISABILITY and/or IMPAIRMENT(S),' the medical professional should detail the clinical diagnosis and describe how the disability affects the applicant's ability to meet English and civics requirements.
Complete the certification sections at the end of the form. The medical professional must sign and date this section to validate the information provided.
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Healthcare Access and Acculturation - Family Medicine
Form N-648, Medical Certification for Disability Exceptions Example of the form used for applicants who seek an exception to the English and/or civicsRead more
N-648, Medical Certification for Disability Exceptions
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