Assessing mental health challenges or disabilities
Psychological Evaluations for Medical Disability Exceptions (N-648)

PECNA provides specialized psychological evaluations and support for individuals seeking Medical Disability Exceptions (N-648) for the naturalization process, offering services in multiple languages to ensure accessibility and cultural sensitivity.
We specialize in N-648 Psychological Evaluations, which assess cognitive, emotional, and psychological conditions that prevent an individual from meeting the English language and civics requirements for naturalization. These evaluations focus on mental health diagnoses, cognitive impairments, and functional limitations, providing essential evidence to support N-648 applications and demonstrate the need for accommodations in the naturalization process.

The PECNA Difference
We are committed to providing the highest standard of care.
Our dedication to excellence is evident in every aspect of our service, from the qualifications of our team to the cultural sensitivity of our support.
Licensed in All 50 States
Our services are available nationwide, ensuring you receive consistent, quality care no matter where you are.
Doctorate-Level Clinicians
Our clinical staff is comprised of highly qualified professionals, all with Psy.D. or Ph.D. degrees, bringing extensive knowledge and expertise.
Affordable Services
We offer options for an 18-month, $0 interest payment plan to reduce financial barriers for families already under stress.
Expedited Reporting at No Extra Cost
We ensure evaluations are completed in time for critical hearings, providing expedited reporting at no extra cost.
Multilingual Clinicians
Our team includes multilingual clinicians from diverse backgrounds, allowing us to provide culturally sensitive support to our patients.
Unparalleled Expertise
A psychologist with a J.D. specializing in immigration law brings unparalleled expertise to our team, ensuring exceptional support for your needs.

Psychological Evaluations for Medical Disability Applicants
At PECNA, our evaluation process is thorough and designed to provide essential documentation and support for individuals applying for Medical Disability Exceptions (N-648). This includes psychological assessments and detailed clinical interviews to evaluate mental health conditions, cognitive impairments, or other disabilities that prevent individuals from meeting the English language and civics requirements for naturalization.
We aim to ensure that each evaluation is comprehensive and accurate, helping to build a strong foundation for a successful N-648 application and a path toward achieving naturalization with the necessary accommodations.
Preparation for Your Medical Disability Application
Applying for a Disability Exception for Citizenship (N-648) can be a complex process, but PECNA is here to guide and support you every step of the way.
Our process begins with a detailed intake to understand your unique medical and psychological circumstances. This is followed by a comprehensive psychological evaluation conducted via our secure, HIPAA-compliant telehealth platform, ensuring privacy and convenience.
Our multilingual clinicians provide culturally sensitive care, offering clear communication and a comfortable experience throughout the process. We thoroughly document any cognitive impairments, mental health conditions, or functional limitations that prevent you from meeting the English language and civics requirements for naturalization.
Our goal is to ensure you are fully informed about the evaluation process, your rights, and the support available to you, helping you confidently move forward with your N-648 application.


Culturally Sensitive Support for Medical Disability Applicants
At PECNA, we understand the importance of cultural awareness and linguistic accessibility in providing effective psychological evaluations for individuals applying for Medical Disability Exceptions (N-648). Our multilingual clinicians are fluent in English, Thai, Mandarin, and Spanish, ensuring clear and empathetic communication with clients from diverse backgrounds.
We are committed to creating a safe, supportive, and nonjudgmental environment that respects each individual’s unique experiences, cultural identity, and values.
By tailoring our evaluations to address the specific needs of each client, we aim to provide not only thorough and accurate documentation but also compassionate support throughout this critical step in the naturalization process.
FAQ ABOUT PSYCHOLOGICAL EVALUATIONS FOR Immigration
Frequently Asked Questions
- What is an N-648 Disability Waiver?
The N-648 Disability Examination Waiver is an exemption provided for U.S. citizenship applicants who cannot complete the naturalization test due to a documented physical or mental impairment. This waiver helps applicants bypass English language and civics requirements, focusing on those with permanent or long-term disabilities that prevent effective learning, recall, or comprehension.
- Who is eligible for an N-648 Disability Waiver evaluation?
Eligibility for the N-648 disability waiver is limited to individuals whose conditions make it impossible for them to meet the citizenship test requirements. These may include cognitive disorders, mental health conditions, developmental disabilities, and other impairments that affect memory or learning. The evaluation establishes that the impairment is long-term or permanent, essential for meeting N-648 criteria.
- What does the N-648 Disability Waiver evaluation involve?
An N-648 evaluation involves a thorough clinical interview to understand the applicant’s limitations, a review of medical history, and psychological assessments to document how the impairment affects daily life and test performance. The process provides detailed documentation of the disability’s impact, demonstrating why exemption is necessary to complete the naturalization process.
- For how long is the N-648 Disability Waiver evaluation report valid?
The N-648 report remains valid as long as the applicant’s condition is ongoing. If the disability is permanent, the waiver generally stays valid throughout the naturalization process, but applicants should confirm with legal counsel as specific timelines may vary.
- What supporting documents are needed for the N-648 Disability Waiver evaluation?
Applicants should provide all relevant medical and psychological records to support their disability claims, including past assessments, therapy notes, and doctor’s letters. These records offer essential evidence, enhancing the N-648 report’s validity for immigration authorities.
- What conditions qualify for the N-648 Disability Waiver?
The N-648 Disability Waiver is designed for individuals who are unable to meet the English language or civics requirements for naturalization due to a physical or mental impairment. Qualifying conditions may include:
- Cognitive Impairments: Conditions such as dementia, Alzheimer’s disease, or intellectual disabilities that impact memory, reasoning, or problem-solving.
- Neurological Disorders: Diagnoses such as traumatic brain injury, stroke, or epilepsy that impair cognitive or physical functioning.
- Mental Health Conditions: Disorders such as severe depression, anxiety, bipolar disorder, or post-traumatic stress disorder (PTSD) that interfere with learning or communication.
- Developmental Disorders: Conditions such as autism spectrum disorder that affect an individual’s ability to understand or retain information.
- Chronic Medical Conditions: Illnesses such as Parkinson’s disease or multiple sclerosis that result in significant cognitive or physical limitations.
To qualify, the condition must:
- Be diagnosed by a licensed medical or psychological professional.
- Be documented as preventing the individual from meeting the naturalization requirements.
- Be supported by evidence, such as medical records or a detailed psychological evaluation.
If you believe you or a loved one may qualify for the N-648 Disability Waiver, PECNA can provide a thorough evaluation and detailed report to support your application. Contact us for more information.
Schedule Your Psychological Evaluation for Medical Disability Today
Get Started With PECNA
Contact PECNA to schedule a free, 15-minute consultation and learn how our specialized evaluations can help your case.