At Urgent Care Plus & Wellness, we provide compassionate, expert evaluation and completion of the USCIS Form N-648, also known as the Medical Certification for Disability Exceptions. This form is used to request an exemption from the English and/or civics testing requirements during the U.S. naturalization process due to medical disability or cognitive impairment.
Led by Dr. Luke Afuwape, a board-certified Emergency Medicine physician and experienced civil surgeon, our clinic in Richmond, TX serves individuals and families from Katy, Aliana, Mission Bend, Grand Mission, Sugar Land, and across the West Houston region.
I highly recommend this urgent care. My dad recently had his immigration medical exam done by Dr. Afuwape. Incidentally, they found out that my dad had an underlying pulmonary infection/ edema. They went above and beyond and helped my dad get well by prescribing the necessary medications. Special mention to Lena who helped my dad with his X-ray appointments and to Malik that helped with my dad’s prescriptions.

What Is Form N-648?
The N-648 is a formal medical certification submitted to U.S. Citizenship and Immigration Services (USCIS) when a naturalization applicant has a physical or developmental disability or mental impairment that prevents them from learning or demonstrating knowledge of U.S. history and government or English language skills.
To be valid, the form must be:
- Completed by a licensed medical doctor, osteopath, or clinical psychologist
- Based on clinical evaluation and supported by documentation
- Accurate, thorough, and compliant with USCIS requirements
- Submitted concurrently with Form N-400 (Application for Naturalization)
Dr. Luke is qualified and experienced in preparing these forms correctly and compassionately, ensuring that your submission meets all criteria while respecting your dignity.
What to Expect During Your Evaluation
When you visit our clinic for N-648 evaluation and completion, the process includes:
- A detailed review of your medical history and functional limitations
- A clinical assessment of your condition and cognitive abilities
- Review of supporting medical records or prior diagnoses
- Completion of all relevant sections of Form N-648, including medical terminology and explanations
- Sealing and signing of the final form for inclusion with your USCIS application
We work closely with you or your caregiver to ensure clarity and completeness. Interpreter services are available if needed.

Why Trust Dr. Luke for N-648 Completion?
At Urgent Care Plus & Wellness, N-648 evaluations are conducted by Dr. Luke Afuwape, a board-certified Emergency Medicine physician with over 15 years of experience. He brings compassion, clarity, and deep clinical knowledge to every case—ensuring USCIS-compliant documentation that respects each patient’s dignity. Known for his cultural sensitivity and success in supporting patients through the naturalization process, Dr. Luke carefully assesses both physical and mental impairments to clearly explain how they affect testing eligibility.
About UsNeed an N-648 Disability Waiver? Schedule Your Evaluation in Richmond, TX
At Urgent Care Plus & Wellness, we provide professional N-648 medical evaluations and form completion for individuals seeking a disability exception during the naturalization process. Our team ensures compassionate, accurate documentation in line with USCIS requirements. Contact us today to schedule your N-648 evaluation. Conveniently located in Richmond, we proudly serve Katy, Aliana, Mission Bend, Grand Mission, and surrounding West Houston communities.