Extreme Hardship Waiver Evaluations
An Extreme Hardship Waiver evaluation examines the emotional, psychological, medical, and practical challenges a qualifying U.S. citizen or lawful permanent resident would face if their family member were removed from the United States. This assessment goes beyond general sadness or inconvenience, focusing on the severe, measurable hardships that would result from separation or relocation. It provides USCIS with a clinically sound report that clearly outlines how the loss would affect the qualifying relative’s mental health, stability, and quality of life.
Common Concerns
Separation from close family, loss of caregiving or financial support, disruption of medical or mental health treatment, and significant emotional distress.
What To Expect
A detailed interview with the qualifying relative to explore their emotional, medical, and personal circumstances, supported by psychological testing if appropriate. The final report outlines the depth and severity of potential hardships, linking them to credible clinical findings.



