The medical certification that supports disability exceptions for the naturalization process.


If you or a loved one struggles with a physical, developmental, or mental condition that makes it hard to learn English or civics, the form N-648 may allow you to request a waiver.
At Miami Lakes Medical Center, we guide you through every step, making the process clear and stress-free.
The form N-648, Medical Certification for Disability Exceptions, is a form required by USCIS for applicants with physical, developmental, or mental impairments. It allows qualified individuals to request exemption from English and civics testing during the naturalization process.

To qualify, applicants must meet USCIS criteria:
1
The disability must prevent learning or demonstrating English/civics knowledge.
2
The condition must have lasted or be expected to last at least 12 months.
3
The condition cannot be related to illegal drug use.
4
The form must be submitted with your N-400 application.

Finding a Qualified Professional: Applicants must schedule with a licensed provider authorized to complete Form N-648.
Submitting the Form: The completed N-648 must be filed with the Form N-400, Application for Naturalization.
At Miami Lakes Medical Center, we provide:
It provides medical certification for applicants who cannot meet English/civics testing requirements due to disability.
Only a licensed MD, DO, or clinical psychologist.
It must be submitted together with your Form N-400, unless you provide a valid justification.
Yes, if state law allows.
Step 1:
Step 2:
Step 3:
Step 4:
Schedule your appointment with our licensed medical team.
Attend your evaluation (in-person or telehealth if allowed).
Receive a properly completed Form N-648.
Submit it together with your Form N-400 for naturalization.
Don’t let medical conditions stop your path to citizenship. Our team is here to support you with compassion and professionalism.