Formatting for Letters provided by your Doctor or Therapist for Immigration Waiver Purposes

Category:

This Blog Post will provide some templates for a Doctor Office’s Staff or the VA. In immigration filing that has some basis on Medical issues, Psychological issues, or Disability reasons, it is common practice to have such items evidenced/supported by medical records and a Support Letter from the Doctor/Doctor’s Office.

The Doctor’s Letter must generally meet the following criteria:

  • Be on Official Letterhead
  • It can be printed, electronic, or scanned
  • The Signature should be in black ink, if using a pen (a Digital Signature or a Stamp Signature may also be accetable)
  • One-page maximum

To help navigate, the templates are broken into the following situations:


N-648, Medical Certification for Disability Exceptions

To Whom It May Concern:

_________ was evaluated by me on _________, 2022 and was diagnosed with Intellectual Disability – Moderate (DSM-5 318.0). As a result of this diagnosis, _________ has a lifelong inability to learn how to read and write and has impairment in all areas of cognitive functioning. Cognitive testing given as part of the evaluation indicated very poor spatial visual ability, motor skills, and neurological functioning. _________ also has an IQ in the very poor range. At this level of cognitive functioning, _________ will not be able to learn English, remember facts, or recall historical information that is required to pass the English language exam and history exam. All tests confirm very compromised functioning across all levels.

Due to _________’s history of Intellectual Disability – Moderate he/she is unable to communicate or demonstrate understanding of the meaning of the Oath of Allegiance to the United States. He/She is capable of demonstrating loyalty to her family and would be able to exhibit loyalty to the United States. However, because of his/her inability to understand “abstract concepts,” due to his/her diagnosis’ listed above, he/she could not articulate what loyalty is or understand the Oath of Allegiance as read to him/her.

_________’s condition is lifelong and will not change to allow him/her to communicate or demonstrate understanding of the meaning of the Oath of Allegiance.

Should you have any questions, I can be reached directly at _________ or at _________.

Thank you,

Letter from Primary Care Physician to support Diagnosis or Medical Condition

J1 Waiver Wording:

I am the Primary Care Physician to ______________. My Patient is Diagnosed with:

  1. A
  2. B
  3. C

My Patient has many medical issues (as seen above), but the most relevant to the immigration filing are (e.g. Depression, PTSD, Cancer). The Patient MUST receive constant and continuous medication and check-ups (from the Veteran Affairs Hospital). 

Please note:

  • The VA cannot support our Patient going abroad and being without medical attention or FDA-approved medication for any period of time, especially 2 or more years. 
  • The VA finds that our Patient’s spouse is a vital component to my Patient’s health and welfare, and our Patient CANNOT be without his spouse for any period of time, especially 2 or more years.

I-601A Waiver Wording:

I am the Primary Care Physician to ______________. My Patient is Diagnosed with:

  1. A
  2. B
  3. C

My Patient has many medical issues (as seen above), but the most relevant to the immigration filing are (e.g. Depression, PTSD, Cancer). The Patient MUST receive constant and continuous medication and check-ups (from the Veteran Affairs Hospital). 

Please note:

  • The VA cannot support our Patient going abroad and being without medical attention or FDA-approved medication for any period of time, especially 3/10 or more years. 
  • The VA finds that our Patient’s spouse is a vital component to my Patient’s health and welfare, and our Patient CANNOT be without his spouse for any period of time, especially 3/10 or more years.

Letter from Primary Care Physician to support Expedite Request

I am the Primary Care Physician to ______________. My Patient is Diagnosed with:

  1. A
  2. B
  3. C

Due to the medical and psychological permanent disabilities of our Patient, we find that it is in the best interest of our Patient to have the stress-inducing immigration filing of his/her Spouse be expedited.

Our Patient has permanent and debilitating medical conditions, and also suffers from major depression and PTSD. It is imperative that our Patient’s stress and anxiety is reduced, and expediting the immigration filing would meet our needs.

Additionally, due to the delicate nature of our patient’s medical conditions, any stress or anxiety reduction must be immediately pursued so as not to worsen his ____________________, other deteriorating parts of the body, and his psychological issues.

Please expedite the filing.

Respectfully,

 

 

 

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