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Form N-648 Instructions (Rev. 01/13/06)Y. Department of Homeland Security. U.S. Citizenship and Immigration Services. Part II. 2 (a) requires the medical You can submit Form N-648 Medical Certification for Disability Exceptions alongside Form N-400 when you apply for citizenship but, due to a documented medical Before certifying this form, the medical professional must conduct an in-person examination of the applicant. (See instructions for Form N-648 for additional This form is intended for applicants for US Citizenship who seek an exception to the English and civics testing requirements for Naturalization "because ofApplicants for naturalization must submit Form N-648,. Medical Certification for Disability Exceptions, along with a completed Form N-400, Application for