According to a USCIS Press Release: “U.S. Citizenship and Immigrations Services (USCIS) has revised Form N-648, Medical Certification for Disability Exceptions, to further clarify the requirements for the exception and the basis for preparing a medical certification for applicants and medical professionals. The new edition of Form N-648 was made available on the USCIS Web site on Nov. 3, 2008. After Dec. 15, 2008, USCIS will no longer accept older editions of Form N-648.”
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