A learning disability, intellectual disability, developmental condition, or lifelong cognitive limitation may support N-648 when the record explains testing, school history, adaptive functioning, and the connection to English or civics learning. USCIS usually needs more than family statements or a general note that the applicant has always struggled in school.
Yes, if the medical professional explains the disability, duration, functional limits, and why it prevents learning or demonstrating English or civics.
Not always, but they can help. If old records are missing, current testing, medical records, and a careful developmental history may become more important.
No. Limited schooling or limited English alone is not the same as a medically documented disability exception.