Accommodations and special testing arrangements
What this domain tests
This domain covers how candidates request testing accommodations, what documentation supports a request, how approvals are applied on test day, and what confidentiality protections apply. Accommodation requests are handled before the appointment, not at check-in.
Request process and documentation
Submit the accommodation request through the official channel and within the stated lead time, which is often several weeks before the desired appointment. Documentation should come from a qualified professional, be current, and describe the functional limitation and the specific accommodation requested. Common arrangements include extended time, a separate room, screen-reader access, or extra breaks. Approval is specific to the exam and the authorization window; it does not automatically carry over to a later cycle or another program.
Confidentiality and test-day application
The accommodations team reviews documentation separately from eligibility and scoring. Approved arrangements are transmitted to the test center so the administrator can apply them without disclosing your diagnosis to other candidates. You should confirm the arrangement on your appointment confirmation and arrive early to complete check-in.
Worked example
A candidate requests 50 percent extended time and submits a letter from a licensed clinician dated two years ago that names the diagnosis but does not describe functional limitations. The request is returned for a current evaluation that links the limitation to the requested time. Submitting the same letter again does not satisfy the gap. The candidate should obtain an updated letter that addresses the functional impact and the recommended accommodation, then resubmit before the lead-time deadline.
Traps that cost marks
- Requesting accommodations at the test center on the day of the exam.
- Submitting a diagnosis without evidence of functional impact.
- Assuming an approval from a prior year or another exam transfers automatically.
- Missing the lead-time deadline and expecting an expedited review.
- Disclosing diagnosis details to the proctor instead of the accommodations office.
Key points
- Accommodation requests are submitted before the appointment and within the lead time.
- Documentation must be current and describe functional limitations.
- Approval is exam-specific and cycle-specific.
- Approved arrangements are transmitted to the test center confidentially.
- Diagnosis details belong with the accommodations office, not the proctor.
- Late requests may not be accommodated.