Why Might You Need Form N-648?

When filing the naturalization application USCIS Form N‑400, most applicants must demonstrate English (reading, writing, speaking) and U.S. civics knowledge. But if you have a long-term condition that prevents learning or demonstrating these requirements, you may qualify for the disability exception via Form N-648.

At Lumberton Internal Medicine Group, we can evaluate whether your condition meets the requirements for this exception and help you obtain the required medical certification.

Eligibility & Key Requirements

Here are the main eligibility criteria and what you must show:

• You must be applying for naturalization.

• You have a medically determinable physical or developmental disability or mental impairment.

• The disability or impairment:

  • Has lasted or is expected to last 12 months or more;

  • Prevents you from fulfilling the English and/or civics requirement even with reasonable accommodations.

• The certification must be completed by a qualified professional (a licensed MD, DO, or clinical psychologist) explaining how the impairment prevents the educational requirements.

How Lumberton Internal Medicine Group Supports You

At our Lumberton clinic:

• We provide in-person evaluations (as required by the regulations) to assess your condition in depth.

• Our physicians take the time to document the diagnosis, the impact on your ability to learn or demonstrate English/civics, and the duration of the impairment.

• We help ensure the certification documentation aligns with the guidance published by USCIS and the Centers for Disease Control and Prevention (CDC) for immigration medical exams (though note: Form N-648 is distinct from the immigration medical exam required for adjustment of status).

• We work with you to complete Form N-648 correctly and attach it to your naturalization packet when you file Form N-400.

Important Process & Timing Tips

• Submit Form N-648 with your Form N-400 whenever possible — this may reduce delays.

• Bring all relevant medical records and documentation of your diagnosis to your appointment at our clinic.

• During your evaluation, the physician will explain how your impairment is connected (“nexus”) to the inability to meet the English/civics requirement — vague statements may lead to rejection.

• Keep copies of the form and supporting records.

• After certification, your Form N-648 goes with your naturalization case and may be reviewed by USCIS carefully.

Common Pitfalls & How to Avoid Them

• Outdated editions of the form: Always use the most recent version of Form N-648.

• Weak or missing “nexus” explanation: The form must show how the disability prevents meeting the English/civics requirement — not just the existence of the disability.

• Assuming an accommodation equals an exception: If you could meet the requirement with an accommodation (e.g., extra time, help), you may not qualify for the exception. Form N-648 is for when you cannot meet the requirement at all due to the condition.

• Late submission: Attaching the form long after you file the naturalization application may raise questions or cause delays.

• Using a provider not designated for immigration/exceptions: While Form N-648 is different from the standard immigration exam (Form I-693), you should work with a qualified physician experienced with naturalization/disability-exception documentation.

Why Choose Lumberton Internal Medicine Group for Your Certification

• Locally based in Lumberton, NC — accessible to residents in Robeson County and surrounding areas.

• Familiar with immigration-related documentation and naturalization disability exceptions.

• Patient-centered: we listen, evaluate thoroughly and clearly explain the process.

• We handle the documentation carefully to help ensure your submission to USCIS is in the strongest form possible.

• We support you through your naturalization journey — we’re not just a clinic, we’re your partner.

FAQs

Q: Can I do the evaluation by telehealth?
No—according to the technical instructions for civil surgeons and USCIS guidance, the evaluation for immigration medical examinations must be in-person. Although Form N-648 is a different process, it is advisable you meet with the physician in person so the examination and documentation are thorough.

Q: Does the certification guarantee my naturalization will be approved?
No. Form N-648 provides a medical certification that you qualify for the disability exception. The decision on naturalization remains with USCIS. However, a well-prepared certification improves your chances of a smooth review.

Q: What if my condition improves later?
If you can later meet the English/civics requirement, you can withdraw the exception; or you may proceed without using the exception. But at the time of filing your application, you must show you cannot meet the requirement due to the condition.

Q: How much does the evaluation cost?
Costs vary. Insurance may or may not cover the full evaluation or documentation. We recommend contacting our office for a consultation and fee estimate.

Closing

If you’re in Lumberton or the surrounding region and applying for U.S. citizenship — and believe that a disability or impairment prevents you from meeting the English and/or civics requirement — don’t navigate the process alone. Lumberton Internal Medicine Group is ready to help you understand whether Form N‑648 is right for you, perform a thorough evaluation, and assist you in preparing the certification that best supports your case.

Contact us today to schedule your evaluation and take the next step in your naturalization journey.