USCIS Form N-648: Medical Certification for Disability Exceptions

Edition date

09/25/24. You can find the edition date at the bottom of the page on the form and instructions.

Where to file

You may submit this form with your completed Form N-400, Application for Naturalization, or separately at a later date.

Filing fee

You can find the filing fee for Form N-648 by visiting our Fee Schedule page.

USCIS filing tips

Filing Tips: Review our Tips for Filing Forms by Mail page for information on how to ensure we will accept your application.

Special instructions

Protect Yourself from Scams in the N-648 Process USCIS does not want you to become the victim of an immigration scam involving fraudulent medical certifications for disability exception. You can read about criminal prosecutions of individuals involved in scams related to Form N-648 including Dr.

Chilakamarri Ramesh; Habeeb Malik, Dr. Ira Weiner, and Dr.

Thongchai Vorasingha; Dr. Roberto J.

Velasquez; Dr.Fernando Mendez-Villamil; Julia Nguyen; Dr. Muhammad S.

Awaisi; and Firoza Van Horn. When you seek a medical certification for disability exception because of a physical or developmental disability or mental impairment that prevents you from learning English and civics, please keep in mind the following: There is no filing fee for Form N-648.

However, a medical professional may charge a fee for a medical examination and for filling out forms. Only a medical doctor, doctor of osteopathy, or clinical psychologist licensed to practice in the United States may certify Form N-648.

You may contact your state medical board to determine whether the medical professional has a valid license.