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Back arrow to return to all resources page All resources Exempting a patient who cannot learn English and/or U.S. history from the U.S. Citizenship Test

  • Immigration
  • Form
The U.S. citizenship test contains English and civics portions that applicants must regularly complete. The test requires demonstration of proficiency in the English language, including reading, writing, and speaking abilities. Additionally, applicants must demonstrate understanding of the history, forms of government, and principles of the U.S. For individuals who are differently-abled or who are living with a mental health condition, demonstrating proficiency in these concepts can be challenging, yet this should never preclude someone from obtaining U.S. citizenship.
This form, titled Form N-648, can be filled out by medical providers on behalf of immigrant patients who are applying for citizenship yet are unable to complete the English and/or civics portions of the U.S. citizenship test. Several questions have a question mark button with detailed instructions and tips. Several questions also have a lightbulb button Lightbulb icon in PDF file with full example responses. Further instructions on how to fill out the N-648 form can be found on the USCIS website.
Additional Information: The Providence Community Library offers free citizenship test preparation classes on Mondays over 10 weeks. The classes are taught in English, but the instructor speaks Spanish as well. People interested in participating should email Carolina Briones at


  1. Form N-648: Medical Certification Form

Next steps

The completed form should be given to the patient who is applying for citizenship in order to submit along with the completed N-400, Application for Naturalization.