Guidelines to Request Test Accommodations
Overview and Instructions

Download PDF version of Guidelines to Request Test Accommodations

Steps On How to Request Test Accommodations

1. Read the Guidelines carefully.
• Share them with the professional who will be helping you prepare your documentation.
2. Read the instructions for completing the Applicant's Request for Test Accommodations.
3. Complete the Step 1 and Step 2 Clinical Knowledge Applicant's Request for Test Accommodations or the Step 2 Clinical Skills Applicant's Request for Test Accommodations.
• Be sure to sign the request form where indicated.
• Download Forms
4. If appropriate, have your medical school complete the Certification of Prior Test Accommodations form.
5. Attach documentation of the disability and your need for accommodation.
• Compare your documentation with the information listed in these guidelines to ensure a complete submission.
• Incomplete documentation will delay processing of your request.
6. Send your request for test accommodations and supporting documentation to the appropriate registration entity as noted here.

Test Accommodations

Test accommodations include but are not limited to the following:

• Assistance with keyboard tasks
• Audio rendition
• Extended testing time
• Additional break time
• Enlarged text and graphics
• Permission for assistive devices

Score Reporting

USMLE policy requires annotation of score reports and transcripts for Step administrations for which test accommodations were used. Score recipients who inquire about the annotation will be provided with information about the nature of the test accommodation only.