Stroke and brain-injury cases often involve mixed evidence: hospital records, rehab notes, speech therapy, neuropsychology, family observations, and symptoms that fluctuate. The N-648 should translate that record into specific English, civics, reading, memory, speech, or interview limitations.
It may, if the medical professional explains specific functional limits that prevent the applicant from meeting English or civics testing requirements.
The evidence should describe the actual barrier: speech, comprehension, reading, writing, processing speed, memory, or fatigue. USCIS needs the functional connection, not just the diagnosis name.
Often yes. Speech, occupational, physical, or cognitive therapy records can help show current limits and whether the N-648 explanation matches the treatment record.