Who Can Get Extreme Hardship Evaluation?
An extreme hardship evaluation may be appropriate for qualifying U.S. relatives of individuals applying for immigration waivers, including those facing
How an Extreme Hardship Evaluation Can Support Your Case
A clinical immigration hardship evaluation defines the emotional and psychological impact that may not be fully captured in legal documents alone. Clinical documentation may address how separation or relocation could affect a qualifying relative's mental health and emotional stability, treatment or access to ongoing care, ability to function day to day, parenting or caregiving responsibilities, and family relationships and support system.
Trauma-Informed and Culturally Responsive Care
Discussing possible separation from a spouse, child, parent, or other family member can be deeply difficult. Our licensed clinical therapist, Alice Solis, LCPC, uses a trauma-informed and culturally responsive approach to understand each person's experience in context and document clinically relevant information carefully and objectively. If you are represented by an immigration attorney, AFS Counseling Services can coordinate with your legal team when appropriate.
Start Your EvaluationWhat Includes the Extreme Hardship Clinical evaluation
The process is designed to understand the qualifying relative's circumstances while providing careful, objective clinical documentation.
01
Clinical Interview
Alice discusses the individual's history, family relationships, mental health, current circumstances, and concerns related to separation or relocation.
02
Clinical Assessment
When appropriate, clinical assessment methods may be used to better understand symptoms and current functioning.
03
Clinical Analysis
The information is reviewed from a mental health perspective to understand the potential psychological effects of the circumstances described.
04
Written Evaluation
A formal clinical evaluation documents the relevant clinical findings and psychological impact for the immigration case.
After the clinical interview and any appropriate assessment, Alice reviews the information and prepares the written evaluation. The completed report can then be provided securely to you and/or your legal representative according to the arrangements made for the evaluation. Your attorney can determine whether and when the evaluation should be submitted with your immigration case.
Standard evaluation: $1,500
Expedited evaluation: $1,850, including a $350 rush fee
Standard turnaround: 2–3 weeks
Expedited turnaround: Under one week.
If your attorney has a specific deadline, let us know when scheduling so we can discuss the available timeline.
Have Any Questions?
Explore Our Insights
Start Your Extreme Hardship Evaluation
Get accurate assessment focused on documenting the psychological effects of separation or relocation to confidently present your immigration case.


