Form N-648 Medical Certification for Disability Exceptions

Form N-648 is for applicants who seek an exception to the English and/or civics requirements of the naturalization process due to a physical or developmental disability or mental impairment that has lasted or is expected to last twelve months or more.

A Form N-648 applicant should submit Form N-648 at the time he or she files Form I-400, Application for Naturalization. Form N-648 applicants are not required to fulfill the English language and civics requirements if the applicant is unable to do so due to physical or mental disabilities. Illiteracy alone is not a valid reason to seek an exception under Form N-648.

The medical professional must explain in plain English and layman’s terms how the provider diagnosed the impairment and how the diagnosed condition affects the applicant’s ability to learn or demonstrate English proficiency and/or knowledge of U.S. history and government.

Form N-648 must be certified by a licensed medical professional. Before certifying Form N-648, the medical professional must have conducted an examination of the applicant. Form N-648 responses must be indicated in common language, without abbreviations, so that a person without medical training would be able to understand. Only medical doctors, doctor of osteopathy, or clinical psychologists licensed to practice in the United States may complete Form N-648.

Medical Requirements:

Mulitple comprehensive psychiatric examinations, review of previous medical records, additional pertinent diagnostic tests to prove where is the limitation that does not allow the applicant to learn and answer the questions asked by the immigration office during the naturalization interview.

Pact Atlanta, LLC has been successful in assisting appropriate applicants to identify their disabilities and completing successfully the N-648 waiver form.

Pact Atlanta, LLC is not responsible for determining whether an applicant qualifies for an adjustment in status. That determination is made by a USCIS Officer after reviewing all relevant records, including the report of the medical examination.


Samir K Patel, MD

Samir K Patel, MD, is currently the Clinical Director and Director of Medico-Legal Analysis at PACT Atlanta, LLC. Dr. Patel earned dual undergraduate degrees in English and Chemistry at the University of Missouri-Kansas City and went on to receive a Masters in English while teaching at the university for a few years. He graduated from Avalon University School of Medicine. Upon graduation, he focused mainly upon research, landing a position at the aforementioned locale under the tutelage of Dr. Todd Antin, recognized as one of America’s Top Psychiatrists by the Consumers’ Research Council of America.

Dr. Patel currently focuses his research upon Deep Transcranial Magnetic Stimulation (dTMS), Pseudobulbar Affect, Opioid Dependence, and serves to direct medical education for various medical, osteopathic, and physician assistant schools.