Medical Disability Waiver
SHIFT-CLEAR:N648™
Our Professional Pre-N648 Screening provides educational guidance and recommendations about your potential for N-648 medical waiver qualification. Our licensed clinical expertise helps you make informed decisions about next steps in your citizenship journey.
You may qualify for a medical waiver—but let’s find out first. Before you begin a costly or time-consuming evaluation, this screening helps you understand if your condition may meet diagnostic criteria for an N-648 waiver request.
Who It’s For
What’s Included
SHIFT-CLEAR:N648™ is designed for:
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Immigrants seeking a disability waiver (Form N-648) for the naturalization exam
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Clients referred by immigration attorneys or clinics
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Individuals with mental, neurological, or cognitive conditions that may interfere with learning, memory, or test-taking
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Clients who are unsure if they qualify or have limited medical records
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Family members or sponsors helping loved ones prepare for the naturalization process
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Intake Questionnaire
A brief but comprehensive intake form to gather background, symptoms, and concerns. -
45-Minute Screening Consultation
A focused virtual or face-to-face session to explore your medical, emotional, and cognitive concerns in plain language—no pressure, no judgment. -
Summary of Findings Letter
A short, professional letter summarizing whether a full N-648 evaluation is likely to be clinically appropriate at this time. -
Recommendations for Next Steps
If applicable, we’ll provide referral options and tips on how to prepare for a full evaluation or how to gather needed records.
Flat Fee Simplicity
We offer a flat fee for all N-648 screenings—so you know exactly what to expect with no hidden costs.
Your fee covers:
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Intake form
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30-minute session
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Summary letter
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Referral or next-step recommendations​
Cost: $150.00 + $5.oo processing fee
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Payment is due at the time of booking.
We’re here to guide—not pressure—you into the right next step.
Frequently Asked Questions (FAQ)
What is a screening—and how is it different from an evaluation?
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A screening is a brief consultation to help determine if a full psychological evaluation is likely to be helpful or appropriate. It does not include testing or diagnosis. Instead, it gives you professional insight before you commit to a longer, more expensive process.
Will this screening give me a completed N-648 form?
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No. This service does not produce the official N-648 form. Instead, you’ll receive a short summary explaining whether your condition appears to meet criteria that could support a waiver request—and whether a full evaluation is the right next step.
Can I submit the summary letter with my immigration paperwork?
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No. The summary is for your guidance only or to share with your attorney. It’s not an official medical document for USCIS.
What if I’m not sure whether I qualify?
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That’s exactly why this screening exists. If you’re unsure whether your memory, learning, or mental health challenges could impact your ability to take the U.S. naturalization test, we’ll help you explore your concerns with care and clarity.
Do I need medical records for the screening?
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No, but if you have them, they can help. We’ll guide you on what records might be useful if we recommend moving forward with an evaluation.
I was denied an N-648 before. Can this still help?
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Yes. If your situation has changed or wasn’t fully understood last time, this screening can help clarify whether you now meet the clinical guidelines—and what to do differently if you apply again.
Will I be able to book a full evaluation afterward?
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If a full evaluation is appropriate, we’ll explain your next steps. In many cases, you’ll have the option to continue with a Shift Behavioral Health licensed clinical psychologist, or we’ll refer you to another trusted provider.
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You’re not meant to do this alone—and you shouldn’t have to guess your way through it.
The N-648 process can be complex and intimidating. SHIFT-CLEAR:N648™ was created to help you explore your options before investing time, money, or hope in a process that might not apply to your case.
We take you one step at a time—with clarity, care, and clinical expertise.
