The process of applying for naturalization requires a civics test, which may create some complications for those with disabilities. The good news is that you can apply for a medical waiver for citizenship, removing the need to go through the civics test. However, to qualify for this naturalization disability accommodation, you must be able to pass some criteria. Keep reading to find out what the medical waiver for citizenship is and how you can apply for it.
What Is the Medical Waiver for Naturalization?
When going through naturalization, you will need to attend and complete the naturalization test, which is made up of two components: an English test and a civics test. Although these are important tests most immigrants should complete, some individuals may have disabilities, making them exempt.
The USCIS provides a medical waiver for citizenship, allowing you to bypass the civics and English test, otherwise known as Form N-648.
Because of the nature of the civics and English test, Form N-648 is specifically reserved for those with disabilities that directly impact their ability to learn and remember new information. Here are some examples of disabilities that would qualify you for the N-648 waiver:
- Alzheimer’s
- Learning disabilities
- Stroke
- Traumatic brain injuries
- Severe depression
- Severe PTSD
If you don’t have any of the conditions listed above, an immigration attorney can help you better understand what disabilities still qualify and how you can prove that you meet these qualifications.
Who Qualifies for the N-648 Waiver?
Now that you know that citizenship for disabled applicants is still possible, how do you qualify? There are several eligibility criteria you must meet when filing Form N-648 if you want to be approved.
The disability must be expected to last at least 12 months.
The disability must be evaluated and documented by a licensed medical professional.
The disability is not the result of illegal drug use.
You also need to remember that the disability has to directly relate to the nature of the civics and English test. So, for the disability to qualify, it must directly impact your ability to learn and remember the English language, American history, and any other applicable information. This can also include disabilities that impact your ability to repeat the new information that you have learned since the civics test is an oral test.
Filing the N-648 Waiver For Disability
If you believe that you qualify for the medical waiver for citizenship, you will need to follow the correct filing process. This process begins by getting an exam and diagnosis from a qualified medical professional. Keep in mind that they must be a licensed medical provider who is either a clinical psychologist, doctor of osteopathy, or medical doctor.
After the exam, your doctor will need to fill out Form N-648, explaining the kind of disability or impairment you have and how it impacts your ability to take the civics test.
Once you have Form N-648, you can move forward with naturalization by including it with your naturalization application. Or, you could bring Form N-648 when you attend your naturalization interview instead.
It is strongly recommended that you seek the legal assistance of an immigration attorney before you begin this process. Although it may seem straightforward, even the smallest issue can cause immigration issues, so it is best to get the help of a legal expert.
Tips for Approval
Applying for the naturalization disability accommodation isn’t overly complicated, but the USCIS will look very closely at these applications. Because of this, here are some additional tips to use to ensure you submit a strong waiver with the best chance of approval.
Experienced Medical Professional
As long as your exam is performed by a certified medical professional, such as a licensed medical doctor, clinical psychologist, or doctor of osteopathy, you have met one of the main requirements. However, it is strongly recommended that you specifically look for a qualified medical professional with immigration experience.
Not all licensed medical professionals will understand how medical waivers work or what is required. And although the process of filling out this form is quite straightforward, the doctor may not completely understand the questions or the information they need to provide.
A doctor who has completed medical waivers before will understand the importance of wording and providing extensive information that is applicable to the civics test.
Detailed Information
Your medical waiver should include information regarding the diagnosis, origin, nexus, and affect, which includes:
- Diagnosis: A description in lay terms regarding the nature of the illness or disability.
- Origin: the suspected origin of the disability or illness.
- Nexus: The applicable symptoms of the illness or disability, such as learning issues or trouble answering questions.
- Affect: A conclusion of how the disability or illness impacts the applicant, making them unable to meet the requirements of the English or civics test.
The more detail you provide, the better, since any vague illnesses or disabilities are much less likely to be approved by the USCIS. That is why you should doublecheck the doctor’s answers on Form N-648 to ensure they have included all of the applicable and necessary information.
Hire an Immigration Attorney Today
Are you wondering how to skip the civics test for citizenship with the N-648 form? Contact us today at U.S. Immigration Law Counsel at 800-666-4996 to speak with an immigration attorney about your situation. We will deal with the government, so you don’t have to!
FAQ Section
Can any doctor fill out Form N-648?
No, only licensed medical doctors, clinical psychologists, or doctors of osteopathy can complete Form N-648. This form must also be filled out by the doctor who performed the examination.
Does this mean I skipped the whole interview?
Not necessarily. You may still be required to attend a simplified civics interview depending on the nature and severity of your disability.
Can USCIS deny the waiver?
Yes. The USCIS has the right to deny medical waivers if the applicant does not meet the eligibility requirements, the information provided is vague, or the necessary steps were not followed, such as getting an examination from a qualified medical professional.


