How to Submit a Request for Test Accommodations for USMLE
(for Step 1, Step 2 CK, Step 2 CS and Step 3)
If you have a documented disability covered under the Americans with Disabilities Act (ADA) you must notify the USMLE in writing each time you apply for a Step examination for which you require test accommodations.
If you have not previously received test accommodations for USMLE, complete and submit the Request for Test Accommodations to the address listed on the form. Submit your completed request form and supporting documents at the same time you submit your Step exam application to your registration agency.
Subsequent Request for Test Accommodations
If you received test accommodations for a previous Step exam, complete and submit the Subsequent Request for Test Accommodations to the address listed on the form. Submit your completed request form at the same time you submit your Step exam application to your registration agency.
Certification of Prior Test Accommodations
If you received test accommodations in medical school/residency submit a completed Certification of Prior Test Accommodations to the address in the table below, along with your Request for Test Accommodations.
Request Additional Break Time Only
Examinees with medical conditions, such as lactation, may apply for additional break time/standard testing time by submitting this form along with a letter from a qualified health care professional documenting the medical necessity of the request.
What to Submit
- Legible copies of all documents, not originals
- Typewritten and signed letters and reports from professionals on their letterhead
- Complete reports with all pages, signed and dated
- All documents in English. You are responsible for providing certified English translations of non-English documentation
- Childhood records if your request is based on a developmental disorder such as LD, dyslexia, ADHD
- Documentation beyond self-report of your functional impairment
- Documentation of your functional impairment in activities other than test-taking
What NOT to Submit
- Original documents
- Handwritten or unsigned letters from physicians or evaluators
- Copies of reports with redactions or missing pages
- Multiple copies of documentation (i.e., faxed and mailed copies of a document)
- Duplicate documentation previously submitted to Disability Services
- Previous correspondence from Disability Services
- Research articles, your résumé or curriculum vitas
- Staples, binders, page protectors, folders, or similar items
Test accommodation requests and inquiries should be directed to:Disability Services
National Board of Medical Examiners
3750 Market Street
Philadelphia, PA 19104-3102
Telephone: (215) 590-9700
Facsimile: (215) 590-9422