Medical Disability Exemption Certificate (Form N-648)

According to U.S Citizenship and Immigration Services, applicants for naturalization must demonstrate an understanding of the English language, including an ability to read, write, and speak. They must also demonstrate a knowledge and understanding of the United States’s history and principles and form of government. The applicants, who due to medical or mental impairment cannot fulfill this requirement have the option to seek medical exemption to the English and/or civics requirements.

Dr. Khodaparast conducts psychological evaluation and neurocognitive testing to determine whether the applicants are eligible to receive medical exemption from taking U.S history and civics, and English exam as part of the N-400 Naturalization application. She also conducts psychological evaluation for individuals who are seeking asylum, as well as the battered non-citizen individuals, who are eligible to self-petition through the VOWA (Violence Against Women Act) and are in the process of filing Form I-360.

There are Farsi, Spanish, and Arabic interpreters available upon your request. For more information, please contact our office or email at

Farsi and English speakers: Contact (858) 480-9118
Spanish Speakers: Contact (619) 880-1717
Arabic Speakers: Contact (619) 947-8818