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Guidelines for Form N-648: The Disability Waiver for Naturalization. Unless a special exception applies, applicants for U.S. citizenship must be interviewed inBefore certifying this form, the medical professional must conduct an in-person examination of the applicant. (See instructions for Form N-648 for additional Instructions for Form N-648, Medical. Certification for Disability Exceptions. Department of Homeland Security. U.S. Citizenship and Immigration Services. Use this form if you are applying for U.S. citizenship and need to request an exception to the English and civics Instructions for Form N-648 (PDF, 133 KB). 8 Aug 2011 Form N-648 Instructions 03/21/17 Y Page 1. Department of Homeland Security. U.S. Citizenship and Immigration Services. Instructions for Form N-648, Medical. 17 May 2018 Home · Resources · Document Library; Form N-648: Medical Certification for Disability Exceptions Instructions Events; March 5, 2019. You are here: Home / N-648, Medical Certification for Disability Exceptions N648 Form and Instructions · USCIS Training on N648. and/or civics (Part II. 4 and 5). Form N-648 Instructions (Rev. 01/13/06)Y. Department of Homeland Security. U.S. Citizenship and Immigration Services. Part II. 9 May 2018 exception using Form N-648, Medical Certification for. Disability PM E.2. See Chapter 7 of the ILRC's manual entitled Naturalization and.