Immigration Evaluations › N-648 · citizenship
MEDICAL DISABILITY EXCEPTION FOR CITIZENSHIP

Evaluation for Form N-648
Medical Disability Exception

If a physical, mental or developmental condition prevents you from learning or demonstrating English or civics, you can request an exception to the test with Form N-648. A Licensed Clinical Psychologist can complete it.

Adulto mayor estudiando para el examen de ciudadanía con su hija, N-648
Authorized professionalUSCIS accepts the N-648 completed by a Licensed Clinical Psychologist, as well as by physicians.
WHAT YOU ARE GOING THROUGH

Wanting to become a citizen
and not being able to memorize
is not a lack of effort

Memory loss, dementia, severe depression, the aftermath of a stroke, intellectual disability. Many people study for months and still can’t retain the test questions.

The N-648 must explain the condition, how it was diagnosed and why it prevents you from learning or demonstrating English and civics. An incomplete form is one of the most common reasons for denial.

Dr. Benejam evaluates, administers the necessary tests and completes the form with the detail USCIS asks for.

What you need to know about the N-648 evaluation

What is it?

A clinical evaluation with cognitive and mood tests. The result is a complete Form N-648 signed by a Licensed Clinical Psychologist. It explains how the condition prevents you from learning and remembering English and civics.

Who needs it?

Permanent residents applying for citizenship who have a condition that prevents them from learning or demonstrating English or civics.

Why does it help?

If USCIS approves it, the person is exempt from the English and civics test, or from the relevant part.

How long does it take?

About 7 days after the interview. If your case is urgent, choose Express delivery (48 to 72 hours) or 24-Hour Rush delivery.

Nuevo ciudadano con una bandera de Estados Unidos junto a su hija
Your goal: citizenship
"You don't have to tell your story perfectly. You just have to tell it the way it happened. We take care of the rest."Dr. Gustavo R. Benejam, Psy.D.
Hombre mayor llega a su cita acompañado de su hijo
Come with a family member
THE REPORT

What your N-648 includes

Each section answers what Form N-648 asks for. We don’t exaggerate or promise an outcome: we describe precisely what the evaluation found.

  1. IMedical and psychological history
  2. IICognitive and memory tests
  3. IIIDiagnosis, with its code and onset date
  4. IVHow the condition prevents you from learning or demonstrating English and civics
  5. VForm N-648 signed by Dr. Benejam

How it works

01

Book

Online, by phone or by text. We confirm the exact date and time.

02

Interview

In your language, at your own pace.

03

Signed report

For you and your attorney.

VIDEO

Dr. Benejam explains the N-648 evaluation

In a few minutes: what the N-648 evaluation is for, what the interview is like and what your attorney receives.

Dr. Gustavo R. Benejam en una evaluación por videoconferencia
[VIDEO · N-648 · English · 60–90 s]Reserved space: the video goes here when ready
Dr. Gustavo R. Benejam conversando con una clienta en su consultorio
Florida license PY7387 · PSYPACT APIT 19912More than 20 years in practice
WHO EVALUATES YOU

A Licensed Clinical Psychologist
signs your report

Your evaluation is led by Dr. Gustavo R. Benejam, a Licensed Clinical Psychologist, together with his clinical team. He reviews and signs every report.

Frequently asked questions
about the N-648

Can’t find your question? Text us at (305) 981-6434.

How long is the appointment?

About an hour and a half.

Who should come with the patient?

Ideally, a family member who knows their history and daily routine.

Do I need to bring my medical records?

Yes, they help a lot: diagnoses, prescriptions and previous test results.

Does the N-648 exempt me from the citizenship interview?

No. You still attend the interview. The exception applies to the English and civics test.

Does my health insurance cover it?

No. Health insurance, Medicaid and Medicare do not cover psychological evaluations for immigration purposes.

Can I do it by video if I don't live in Florida?

In almost every state, yes, thanks to Dr. Benejam's PSYPACT authorization. Check the state map or text us.

Does the evaluation guarantee approval?

No. No evaluation guarantees an outcome. What it does is document your case with clinical rigor so it is considered in full.

Take the first step today

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