Form N 648 Pdf - (see instructions) reminder about eligibility requirements. All parts of this form (except for the applicant attestation below) must be completed by a licensed medical doctor, licensed doctor of osteopathy, or licensed clinical psychologist. Information about disability and/or impairments. Who is eligible for a disability waiver? Web written by jonathan petts. The form must be completed by a licensed medical professional and submitted with the application.
Web written by jonathan petts. The form must be completed by a licensed medical professional and submitted with the application. Information about disability and/or impairments. All parts of this form (except for the applicant attestation below) must be completed by a licensed medical doctor, licensed doctor of osteopathy, or licensed clinical psychologist. (see instructions) reminder about eligibility requirements. Who is eligible for a disability waiver?