N-648 Medical Exception | Steven W. Gordon, MD.

What Is Form N-648?

Form N-648 is used by permanent residents applying for U.S. naturalization who are unable to meet the English language and/or civics testing requirements due to a documented medical or psychiatric condition.

Before scheduling an appointment, we strongly recommend that you visit the following site: https://www.uscis.gov/citizenship/exceptions-and-accommodations
We also strongly recommend that you receive advice from an immigration law attorney if you have not already done so.

Scheduling Your Appointment

To begin the process:

Call (913) 787-5805 or email SWGordonMD@gmail.com.
In your message, mention:
- Your interest in an N-648 consultation.
- The medical and/or psychiatric diagnosis you believe qualifies you for an exception.

We will send you a Permission Form to complete and return. Once received, we’ll call to schedule your initial consultation.

Important:

The $520 consultation fee must be paid in advance.
This fee is non-refundable and the appointment is non-cancelable.
Medical insurance is not accepted.

Preparing for Your Initial Consultation

If you do not speak English, arrange for a translator fluent in both English and your native language.
If you are unable to advocate for yourself, bring a personal advocate familiar with your medical or psychiatric history.
You do not need to bring medical records to your initial consultation, but you should begin planning how to collect them for later use.

What to Expect During Your Initial Consultation

Purpose: To determine whether you may qualify for a medical exception to the English and/or civics test requirement.
Duration: Up to one hour with Dr. Gordon.
What to Bring:
- Your green card
- Your passport
- Translator (if applicable)
- Personal advocate (if applicable)

Dr. Gordon may also administer a few basic assessments similar to the USCIS civics and English tests.

You will not receive a decision immediately. Within two weeks, Dr. Gordon will inform you by email whether:

You do not qualify (with an explanation), or
You may qualify, and any additional steps that may be needed.

If You Choose to Proceed

If Dr. Gordon determines that you may qualify:

You will be asked to submit all relevant medical and psychiatric records.
You may need to consult with specialists or undergo specific medical tests.
You will be responsible for all additional costs listed below.
While straightforward cases may be completed in as little as two weeks, be prepared for the process to take several months.
Be aware that USCIS, not Dr. Gordon, makes the final decision.
You should consult an immigration attorney for guidance on submitting the N-648 form.

Delivery of the N-648 Form:

You will receive the completed form in a sealed envelope.
Dr. Gordon’s office will not issue copies of the form.
USCIS will share the contents of the form during your interview, and you may request a copy from them.

Additional Costs

These apply only if you proceed beyond the initial consultation and must be paid in advance:

Service	Fee
Investigation & Preparation	$1,000
Medical Record Review	$1 per page
Specialist Consultations & Tests	Varies (may be covered by insurance)
Follow-Up Appointments (rarely needed)	$200 per appointment
Mailing Fee (if not picking up in person)	$50
Duplicate N-648 Form (if lost or damaged)	$520