Medical Exemptions for the Citizenship Test: What You Need to Know

Becoming a U.S. citizen is a dream for many, but for some, the required English and civics tests feel like an impossible barrier. Illness, disability, or even illiteracy can make passing these exams extremely difficult. Fortunately, U.S. immigration law provides a medical exemption that may allow certain applicants to skip the tests and still achieve their citizenship goal.

What Is the Medical Exemption?

The medical exemption is available to applicants who have a physical, developmental, or mental disability that prevents them from learning English or U.S. history and civics. To apply, you must submit Form N-648, Medical Certification for Disability Exceptions, which must be completed by a licensed doctor or clinical psychologist.

If approved, you will not be required to take the English test or the civics test as part of your naturalization application.

How It Helps Different Applicants

• Individuals with Medical Conditions: Those with conditions like dementia, Alzheimer’s, PTSD, or intellectual disabilities may qualify if their condition impacts their ability to learn.

• Illiterate Applicants: For some, illiteracy makes it nearly impossible to study for or pass the English reading and writing requirements. If illiteracy is tied to a documented condition, the exemption may provide a path to citizenship that would otherwise feel out of reach.

• Older Adults: Age alone is not enough for a medical exemption, but many older adults with health-related learning difficulties may qualify.

  
  

Why the Medical Exemption Matters

This exemption recognizes that not every immigrant has the same ability to meet the testing requirements. It ensures that those who have built their lives in the U.S. are not unfairly denied citizenship simply because of circumstances beyond their control. For many, it is the only way to finally achieve their dream of becoming an American citizen.

Applying for a medical exemption requires careful documentation, and USCIS reviews these applications closely. An experienced immigration attorney can help ensure the form is properly prepared and that your case is presented in the strongest way possible.

If you or a loved one struggle with the English or civics requirements due to illness, disability, or illiteracy, the medical exemption may be the key to accomplishing your citizenship goal.

To start your citizenship journey consult with a licensed immigration attorney. Call us at 321-325-1125 or text 321-204-7718.