Extreme hardship is “not a definable term of fixed and inflexible content or meaning,” but “necessarily depends upon the factors and circumstances peculiar to each case.” Matter of Hwang, 10 I&N Dec. 448, 451 (BIA 1964). The factors deemed relevant in determining whether an alien has established extreme hardship to a qualifying relative include but not limited to the following: the presence of a lawful permanent resident or United States citizen in this country; the conditions in the country or countries to which the qualifying relative would relocate and the extent of the qualifying relative’s ties in such countries; the financial impact of departure from this country; and significant conditions of health, particularly when tied to an unavailability of suitable medical care in the country to which the qualifying relative would relocate.
A clinical immigration evaluation can make a great deal of difference when filing for certain immigration benefits. It is of the utmost importance that the clinical evaluation report be prepared by a professional who has experience with the unique requirements of the extreme hardship standard used in I-601 and I-601a waiver applications as well a the requirements of the Form N0648, Medical Certification for Disability Exceptions.
As a culturally sensitive clinician with experience working with immigrant populations, I am often called upon to conduct Clinical Immigration Evaluations. I work closely with immigration attorneys, social workers, case managers, and many others when clients are seeking immigration benefits. As a licensed clinician who is also an expert witness in Palm Beach County, Broward County, and Miami-Dade County, my reports and testimony can provide invaluable evidence for individuals applying for various types of waivers:
- Extreme Hardship Waiver
- Medical Certification for Disability Exceptions
- Political Asylum Waiver