Medical Disability Exemption: Citizenship Waivers (N-648)

Des Moines, IA US
September 25, 2019


This is a private course. 

Target Audience

Healthcare professionals.

Educational Need

Providing culturally aware services to support patients –including cognitive concerns- into primary care other medical providers who are eligible to complete N-648 form.  Medical providers are often requested to complete the N-648 form for their patients, but there are often questions and concerns about filling out the form and completing this correctly per federal requirements.  Due to many providers not understanding form completion expectations, many do not agree to complete the form, which can create barriers and hurdles for patient who are eligible for the waiver.  

The Broadlawns Hospital, Lutheran Services of Iowa, and Primary Health Care Inc. organizations participating in the training - have partnered to support this patient community. This is difficult work and learning from peers in this field will help support other medical providers to feel more confident in completing waivers for their patients.  

US Citizenship and Immigration Services: N-648, Medical Certification for Disability Exceptions 

Learning Objectives

  • Navigate the process for citizenship.
  • Define the medical professionals role is in N-648 process.
  • State why the N-648 form is important.
  • Complete the N-648 form.
  • Explain what happens after the form is complete for patients.


12:30 pm

Introduction: Process Towards Citizenship

Ann Nafier, Esq., Legal Director, Iowa Justice for our Neighbors          
Narayan Rizal, Bilingual Community Associate, Lutheran Services in Iowa  

12:40 pm

The Role of the Medical Professional: N648 

Bery Engebretsen, MD, Chief Visionary, Primary Health Care, Inc.

12:50 pm

Understanding the Disability Exemption Form   

Bery Engebretsen, MD, Chief Visionary, Primary Health Care, Inc.
Kathy Warren, LISW, CADC, Behavioral Health Director, Primary Health Care, Inc.

1:10 pm

Using Interpretation Services and Next Steps 

Narayan Rizal, Bilingual Community Associate, Lutheran Services in Iowa

1:20 pmQuestion and Answers
1:30 pmAdjourn


Relevant to the content of this educational activity, the following individual have no conflicts with commercial interest companies to disclose. 

  • Bery Engebretsen, MD, Speaker
  • Sean Laffey, Activity Coordinator and Planning Committee Member
  • Ann Nafier, Esq., Speaker
  • Narayan Rizal, Speaker
  • Sarah Van Gorp, LMSW, Planning Committee Member
  • Kathy Warren, LISW, CADC, Activity Director, Planning Committee Member, and Speaker
Course summary
Available credit: 
  • 1.00 AMA PRA Category 1 Credits
  • 1.00 AOA Category 2­A
  • 1.00 CE Contact Hour(s)
  • 1.00 IBON
Course opens: 
Course expires: 
Event starts: 
09/25/2019 - 12:30pm CDT
Event ends: 
09/25/2019 - 1:30pm CDT
Primary Health Care
1200 University Ave., Suite 200
Des Moines, IA 50314
United States

Accreditation Statements

  • DO: Des Moines University (DMU) is accredited by the American Osteopathic Association (AOA) to provide osteopathic continuing medical education for physicians. DMU designates this program for a maximum of 1.0 AOA Category 2-A credits and will report CME and specialty credits commensurate with the extent of the physician’s participation in this activity.
  • MD:  This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Iowa Medical Society (IMS) through the joint providership of Des Moines University (DMU) and Primary Health Care, Inc. DMU is accredited by IMS to provide continuing medical education for physicians. DMU designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
  • Nurse: Des Moines University is Iowa Board of Nursing approved provider #112. This live activity has been reviewed and approved for 1.0 continuing education contact hour(s). No partial credit awarded.
  • Other Health Professionals: This live activity is designated for 1.0 AMA PRA Category 1 Credit(s)TM

Educational Grants

No commercial interest company provided financial support for this continuing education activity.


Determination of educational content and the selection of speakers is the responsibility of the activity director. Firms providing financial support did not have input in these areas. The information provided at this CME activity is for continuing education purposes only and is not meant to substitute for the independent medical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient’s medical condition. The content of each presentation does not necessarily reflect the views of Des Moines University.

Available Credit

  • 1.00 AMA PRA Category 1 Credits
  • 1.00 AOA Category 2­A
  • 1.00 CE Contact Hour(s)
  • 1.00 IBON


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This is a private course.