The Green Room Psychological Services Inc.


Q & a: the n648 immigration psychological evaluation- part 2

Q: Can I use my health insurance to pay for the evaluation cost?
A: It depends on your insurance company and the plan you have with them. Once you
have made your payment, we can provide you with an invoice that indicates the out-of-pocket amount paid by you, as well as the date of service. You can submit it with your
insurance to see if they may partially compensate you. However, there are a number of
insurance companies that may deny your request as these immigration evaluations are
not considered “medically necessary” by the insurance companies.

Q: Which forms of payment do you accept?
A: We accept major credit cards, Venmo, and Paypal. Cash payments are no longer
accepted and the full payment needs to be made prior to your scheduled appointment.
We will be happy to provide a receipt for your payment upon request.

Q: Can the doctor come with me to my interview at immigration office?
A: I am afraid not. We do not offer any legal advice to the applicants, nor accompany
the applicants to their interview at the immigration office. However, you are entitled to
have an interpreter present at the time of your interview if you do not speak English.

Q: How long the N-648 report is valid?
A: They are valid for 6 months. Reports older than 6 months may be rejected by the
immigration office (USCIS). In this case, you will need to be evaluated again and a new
N-648 form will have to be completed and submitted with the USCIS.

Q: Do I need to send the N-648 form along with my citizenship application or
A: If you are requesting to be medically exempt from taking the citizenship exam, you
need to submit the completed N-648 form along with your citizenship application. There
are instances that if you fail the citizenship exam at the time of your first interview, you
will be given a chance to be evaluated by a physician who can help you to complete the
N-648 form. In this case, you need to find a doctor who is specialized and experienced
in completing the N-648 and then you can submit it with USCIS separately.

Q: Will you guarantee that my case get approved by the INS?
A: We can guarantee that your N-648 form will be complete based on the information
available to your evaluating physician at the time of your appointment. However, no one
can guarantee that your case will be approved by the USCIS as this is a decision that
only the immigration officer who is interviewing you will make. We are clinical
psychologists and can only guarantee that the medical information included in your
report is accurate per your account. We also take responsibility to revise your N-648
form if it turns out that we made an error or a typo in your N-648 form with no additional


The impact of psychological evaluations in immigration cases


Immigration psychological evaluations can play an integral role in strengthening immigration cases. Licensed immigration psychologists conduct a diverse range of assessments, working with a broad spectrum of applicants. Examples of immigration psychological evaluation cases include:

  • N-648 immigration evaluation (citizenship examination waiver)
  • VAWA (Violence Against Women Act)
  • Hardship immigration evaluation
  • Asylum evaluation

why is psychological evaluation important and what does it involve?

There are several reasons why it is important to undertake a psychological evaluation. These include:

  1. Providing a clear, accurate diagnosis.
  2. Identifying effective, customized treatment and support options for the applicant.
  3. Providing guidance and additional information for other professionals working on the case, including other medical professionals, such as immigration doctors, and attorneys.
  4. Promoting collaborative working between immigration psychologists and immigration attorneys.
  5. Offering clients detailed information about their psychological health and well-being. 

Psychological evaluations comprise different assessments and stages, including:

  • Clinical interviews
  • Psychological testing and questionnaires
  • Consultation with immigration attorneys
  • Reviewing medical history
  • Filing a comprehensive report

how can psychological evaluations help applicants?

Immigration psychological evaluations can help attorneys to build a stronger and more persuasive case on behalf of their client. Immigration psychologists are experts in their field. They use accurate, effective testing processes and techniques to ascertain information about the individual’s psychological health and build a clear picture of the applicant’s mental state and well-being. The results of evaluations and interviews can help decision-makers to understand the potential implications of accepting or rejecting applications and ensure that the individual’s mental health and well-being are taken into account. 

By working with licensed psychologists, immigration attorneys have access to reliable data and comprehensive reports that can strengthen the case and help applicants to achieve the desired outcome. 

how to find an immigration psychologist

If you are looking for an immigration psychologist to carry out psychological evaluations, it is understandable to want to find the best psychologists available. To help you make the right decision, here are some essential factors to consider:

    • Level of expertise: when researching immigration psychologists, look for professionals with a high level of expertise and significant clinical experience. You can often find information about qualifications and experience online or you can ask a psychologist to tell you more about their expertise. 

    • Knowledge and experience of different types of cases: there are all kinds of different types of immigration cases and one applicant may be in a very different situation from another. It’s beneficial to choose an immigration psychologist who has experience in a wide range of cases. 

    • Understanding of immigration law: there are laws and regulations in place governing immigration and the right to relocate and settle in the US permanently. It is essential that immigration psychologists understand immigration laws and that they are familiar with the latest guidelines and rules. 

    • Compassion: many people who are looking for an immigration psychologist may be anxious about undergoing evaluations and they may be going through difficult or worrying times. It is important that clients feel comfortable around their psychologist. Compassion can help to make people feel more confident and relaxed. 


Immigration psychological evaluations are designed to provide detailed, accurate information about an applicant’s mental state and psychological health. Undergoing evaluations and working with professional, licensed immigration psychologists can help to strengthen immigration cases and increase the chances of a successful outcome. 


Neuropsychological evaluation for adhd

According to estimations by the CDC, around 6 million children in the US are diagnosed with ADHD, and this condition affects over 8 million American adults. So, if you suspect that a loved one has ADHD or are in the process of better understanding your diagnosis, you are not alone. 

To learn more about ADHD and start looking for adequate treatment, you’ll need to start by getting an accurate assessment. A neuropsychological evaluation, also known as a “neuro-psych eval”, provides valuable insight into the complexity of ADHD. This type of cognitive testing helps in understanding and managing the disorder more effectively by offering a more accurate diagnosis and treatment options. 

At our clinic, neuropsychological assessments are conducted by experienced professionals specializing in children and adults with attention-deficit/hyperactivity disorder (ADHD). We combine psychological testing – such as psychometrics and achievement testing – along with meetings with parents or educators and behavioral assessments. 

using neuropsychological evaluation to understand adhd: what to expect

A psych assessment can help understand how an individual’s brain functions differently in various scenarios and environments. Although each test can be adjusted to the individual’s needs, our specialist conducts ADHD neuro-psych testing using a set of standardized tests.

During your appointment, you can expect to have an interview with our specialists to better understand your concerns, lifestyle needs, and medical history. Then, you’ll undergo a series of tests, which aim to assess your problem-solving capabilities, general intellect, mood and personality, visuospatial skills, language, comprehension, and reading capabilities, attention and concentration levels, reasoning, processing times, and memory.

These tests are chosen by our team of neuropsychologists based on your medical history and symptoms and are entirely pain-free. They might include drawing or writing tests, answering questions, solving puzzles, and filling out questionnaires. Results are most accurate when patients work hard on each test.

The test’s results may point towards specific cognitive deficits that need to be taken into account when deciding upon appropriate interventions for treating symptoms related to ADHD. For example, results from psychometrics tests might indicate inhibited organizational skills, inefficient memory functions, and learning difficulties. These results can help you decide on the right treatment for your needs.

a step closer to finding the right treatment: contact our team to book a neuropsychological test

Undergoing psychological and psychoeducational testing is the first step to better understanding your ADHD and choosing the right treatment path for your needs. Get in touch with our specialists today to book your initial consultation.


Adhd diagnostic evaluation

Meta: Learn the key symptoms of ADHD and how this condition could impact your ability to concentrate as well as your overall academic or workplace performance.

Attention-Deficit/Hyperactivity Disorder (ADHD) is a neurodevelopmental condition, believed to affect 8.4% of children and approximately 2.5% of adults, according to the latest research. Some argue that it is over-diagnosed and that ADHD symptoms are a result of poor exercise and sleep. If you are wondering whether you or your loved one has this condition, it’s important to recognize the key symptoms that can be identified through a neuropsychological evaluation, sometimes called “neuro-psych eval,” or “ADHD testing.”

symptoms of adhd

There are two main behavioral categories that comprise ADHD:

  • Inattentiveness
  • Impulsiveness and hyperactivity

Inattentiveness refers to individuals struggling to concentrate or focus, or being easily distracted. Along with relevant symptoms of frequent forgetfulness and disorganization, inattention can impact academic performance and stop people from reaching their full potential.

Hyperactivity refers to a sense of physical restlessness, including urges to stand up and move around during situations when one is expected to remain seated (i.e., a classroom, restaurant, or place of worship). Frequent fidgeting is also a relevant symptom. Often accompanying hyperactivity is impulsivity, which is the inability to stop oneself from doing or saying things. This results in verbal impulsivity (i.e., interrupting others, failing to “think before you speak”) or behavioral impulsivity (failing to “think before you act”).

Individuals who have the Combined subtype will often experience both types of behavior — both inattention and hyperactivity/impulsivity. However, this is not always the case. Other ADHD subtypes include ADHD Predominantly Inattentive Presentation and ADHD Predominantly Hyperactive/Impulsive Presentation. Research suggests that approximately 3 in 10 people with ADHD will struggle to concentrate or focus but may not have issues with hyperactivity or impulsiveness. The differences among subtypes can be distinguished during a neurocognitive assessment.

Notably, individuals with inattentiveness will often have a short attention span and may make mistakes in school or at work. They could also appear forgetful or lose things frequently. Individuals can also find it difficult to remain focused on one task because their minds will often wander. This has inherent benefits, including creativity, innovative thinking, and humor; however, the inherent challenges include difficulties with detail-comprehension and organization.

Individuals with hyperactive and/or impulsive traits will find it difficult to sit still and remain calm for long periods. They will tend to struggle with patience (i.e., waiting for their turn) and will frequently interrupt people. They may also have little to no sense of danger and will often act without thinking carefully.

children and teenagers with adhd

Children and teenagers with ADHD can display some or all of the symptoms mentioned above. Symptoms will often become noticeable by the age of 6, which can result in an early diagnosis.

get support

If you think that you or a loved one is displaying symptoms of ADHD, it’s important to seek support from a professional and gain clarity about whether or not a formal diagnosis is warranted. A licensed psychologist can provide ADHD diagnostic testing services, which will provide the scaffolding needed to suggest appropriate treatments for you or your loved one. For example, most individuals respond well to cognitive-behavioral therapy and coaching with respect to time-management and sustaining healthy habits. Others may need additional tools, which may include medication.

The first step is to identify your cognitive profile (i.e., learning style), and other social-emotional and medical factors that impact attention — which is accomplished via an in-depth interview and psychological testing. Recommendations, via a written report, are tailored to your specific circumstances and will position you to better meet life’s demands, and improve your quality of life.

Feel free to contact us if you wish to receive additional information or an initial consult.