What Is the N-648 Medical Waiver?
The N-648 is a medical form completed by a licensed medical professional to certify that an applicant has a physical, developmental, or mental impairment that prevents them from learning or demonstrating knowledge of English or U.S. civics.
This waiver is only granted when the condition:
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Is medically determinable
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Has lasted or is expected to last at least 12 months
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Directly affects the ability to meet naturalization testing requirements
What’s Included in the N-648 Evaluation
Forms are completed thoroughly to reduce the risk of rejection or request for evidence.
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Review of medical history and prior diagnoses
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In-person clinical assessment
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Review of supporting medical records (if available)
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Determination of eligibility based on USCIS criteria
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Accurate completion of Form N-648 by a licensed provider
Who May Qualify for an N-648 Waiver
An applicant may qualify if they have a documented condition such as:
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Cognitive impairment or intellectual disability
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Dementia or memory-related disorders
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Severe mental health conditions
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Neurological conditions
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Developmental disabilities
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Other qualifying physical or psychological impairments
USCIS reviews each waiver individually. Approval is not guaranteed.
What to Bring to Your Appointment
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Valid government-issued photo ID
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Any medical records related to your condition
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Medication list (if applicable)
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Immigration paperwork (if available)
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Interpreter, if needed (unless provided by the clinic)
Important Notes About USCIS Requirements
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N-648 forms must be completed by a licensed medical professional
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Incomplete or vague forms are commonly rejected
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The condition must prevent learning or demonstrating English/civics knowledge
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The waiver does not guarantee naturalization approval
We follow current USCIS guidelines to help prevent delays or rejections.