Do I Need Form I-693 for Naturalization?
Quick Answer
No. Naturalization (applying for U.S. citizenship using Form N-400) does not require Form I-693 or a new immigration medical examination. Form I-693 is only required for adjustment of status (Form I-485). However, there is a separate medical certification process for applicants who need a disability exception or accommodation during the naturalization process.
Naturalization Does Not Require Form I-693
When you apply for naturalization using Form N-400, you are already a lawful permanent resident. USCIS completed its medical admissibility review — including Form I-693 — when you first obtained your green card. The naturalization process focuses on your eligibility for citizenship, including continuous residence, physical presence, good moral character, and knowledge of U.S. civics and history. No new medical examination is required.
When Medical Documentation IS Relevant to Naturalization
While Form I-693 is not required for naturalization, medical documentation may be relevant in two specific situations. First, if you are requesting a disability exception to the English language and civics requirements under Section 312 of the Immigration and Nationality Act, you must submit Form N-648 (Medical Certification for Disability Exceptions), which must be completed by a licensed medical professional. Second, if you need accommodations for a disability during the naturalization interview or oath ceremony, you may need to provide supporting medical documentation.
Form N-648: Medical Certification for Disability Exceptions
Form N-648 is a separate form from Form I-693 and is used specifically for naturalization disability exceptions. It must be completed by a licensed medical doctor (M.D. or D.O.), licensed clinical psychologist, or licensed osteopathic doctor. The form documents the applicant's physical or developmental disability or mental impairment and explains why the disability prevents the applicant from meeting the English language and civics requirements. Form N-648 is not a USCIS civil surgeon form and does not need to be sealed.
The Distinction Between I-693 and N-648
Form I-693 and Form N-648 serve completely different purposes. Form I-693 is used to document the results of the immigration medical examination for adjustment of status. Form N-648 is used to certify a disability that qualifies an applicant for an exception to the naturalization requirements. A civil surgeon can complete Form N-648, but it is not required — any licensed physician or clinical psychologist can complete it. The two forms are not interchangeable.
Planning Your Naturalization Application
If you are planning to apply for naturalization and believe you may need a disability exception, consult with your treating physician or a licensed psychologist about completing Form N-648. If you need accommodations during the naturalization process, contact USCIS in advance to request them. Our office can assist with Form N-648 if you believe you qualify for a disability exception. Contact us to discuss your specific situation.
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