TIPS FOR MEDICAL PROFESSIONALS - Form N-648, 2025

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The document outlines the Medical Certification for Disability Exceptions (Form N-648) used by applicants seeking an exception to the English and civics requirements for U.S. naturalization due to physical or developmental disabilities or mental impairments. It details the eligibility criteria, certification process by licensed medical professionals, and the necessary information required from both the applicant and the certifying medical professional.

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Begin with Part 1: Applicant Information. Fill in the applicant's legal name, Alien Registration Number (if applicable), and date of birth. Ensure all entries are clear and legible.
Proceed to Part 2: Certifying Medical Professional Information. Enter your name, business address, license number, and contact details. Select your medical practice type and indicate if an interpreter was used.
In Part 3: Information About Disabilities and/or Impairments, provide a detailed clinical diagnosis along with relevant medical codes. Clearly explain how these impairments affect the applicant's ability to meet English and civics requirements.
Complete Parts 4 through 7 by answering questions regarding the Oath of Allegiance understanding, interpreter information, applicant's attestation, and your certification as a medical professional.

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What is medical exception for citizenship test?

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

Does the N-648 need to be sealed?

After completion of the medical examination, the civil surgeon will give the applicant, the completed Form N-648 in a sealed envelope. The Sealed Envelope is Opened only by USCIS officials. The Seal should Never be Broken by the Applicant , his or her lawyer or any other Individual.

How do I waive my citizenship test?

Citizenship Test Disability Accommodations If a healthcare provider completes the required Form N-648, individuals may be exempt from the English and civics tests. Accommodations are also available for those with medical disabilities or impairments who are seeking extra help or support during their test-taking.

What is the medical exemption form for U.S. citizenship?

N-648, Medical Certification for Disability Exceptions. Use this form if you are applying for U.S. citizenship and need to request an exception to the English and civics testing requirements for naturalization because of physical or developmental disability or mental impairment.

What is a medical excuse for citizenship test?

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.

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How will the USCIS interviewer approve or deny an N-648 disability waiver?

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).

What kind of doctor fills the N-648?

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.