Citizenship medical form

Disability exception consultation (Form N-648)

If a physical or developmental disability or a mental impairment keeps you from learning or showing knowledge of English or U.S. civics, you may qualify for an exception to those parts of the naturalization test. USCIS Form N-648 is the medical certification for that exception.

How the consultation works

Dr. Haldipur meets with you and carefully reviews all of your medical records, lab results and any MRI or CT results. Then the doctor decides whether you qualify for the disability exception. If you qualify, we complete your Form N-648.

The decision depends on your medical records, so the records you bring matter most. Form N-648 must be supported by documented diagnoses.

Get your medical records before your visit

Ask your primary care doctor or specialist to send your records to our office before your appointment. You are responsible for getting these records to us. We need:

  • Notes from your last appointment, including all prior diagnoses
  • Lab results
  • MRI and CT scan results, and other related tests, if you have had them

Your doctor can fax records to 717-737-2250 or email them to glahmedicalgroupch@gmail.com.

About Form N-648

USCIS decides whether to accept the exception. Read the official instructions on the USCIS Form N-648 page (opens in a new tab), or ask your immigration attorney, if you are not sure the exception applies to you.

Schedule your N-648 consultation

Call the office nearest you, or send us a request and we will call you back.