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Testing Accommodations

Courtesy Accommodations

If you have a temporary limitation (e.g., a fractured arm or leg, advanced pregnancy, etc.) that does not rise to the level of a functional disability, NABNE will work with you and the testing facility to provide physical arrangements to meet your needs. These types of limitations do not require extensive evaluation by a specialist because they do not affect other examinees or alter the testing environment; however, you may be required to submit a note from your physician. You must submit a Courtesy Accommodations Request form to NABNE, no later than 2 weeks prior to the exam date. If you have not requested the accommodations at least 2 weeks prior to the exam date, the testing facility is under no obligation to accommodate your request. Contact NABNE to receive instructions and a copy of the Courtesy Accommodations Request form.

Testing Accommodations for a Physical or Cognitive Disability

To minimize the impact of functional limitations and to ensure that all test-takers have an equal opportunity to demonstrate the knowledge being tested, NABNE provides testing accommodations to examinees who have qualified disabilities. Providing a testing accommodation to an examinee who does not have a disability, as defined below, could give an advantage that other examinees have not received and would compromise the fairness of the exam process.

To be granted testing accommodations for the August 2018 exam administration, NABNE must receive, no later than May 31, 2018, your completed Testing Accommodations Request form and complete documentation, establishing that:

  • You are an individual with a qualified disability who is otherwise eligible to take the examination(s).
  • Testing accommodations are necessary to address the functional limitations related to the claimed disability.
  • The requested testing accommodations are reasonable and appropriate for the claimed disability.

NABNE is under no obligation to provide the same accommodations as those provided by your current ANMP.


A disability is a physical or mental impairment that substantially limits one or more of an individual’s major life activities as compared to the average person in the general population.

A reasonable accommodation is an adjustment to or modification of the standard testing conditions that addresses the functional limitations related to the examinee’s disability, but which:

  • Does not give an undue advantage to the individual who receives the accommodations.
  • Does not compromise the validity of the examination.
  • Does not fundamentally alter the measurement of the knowledge that the examination is intended to test.
  • Does not compromise the security of the examination.
  • Does not impose an undue burden on NABNE.

Initial Testing Accommodation Request

If you intend to request testing accommodations, you should obtain the NABNE Testing Accommodations Request packet for the upcoming exam administration directly from NABNE. It is strongly recommended that you submit a completed Testing Accommodations Request form and complete documentation to NABNE as early as possible. If NABNE does not receive your accommodations request with complete documentation by May 31, 2018, your request will not be evaluated in time for the August 2018 exam administration. If any required documentation in received after the application period has ended, you will be given the option of either taking the examination(s) without the requested accommodations or forfeiting your exam fees.

To request testing accommodations and to ensure that your request will be evaluated in time for the August 2018 exam administration, it is your responsibility to:

  • Complete the NABNE Testing Accommodations Request form, which includes an authorization allowing NABNE to clarify the information you provide with the evaluator and/or your ANMP1.
  • Prepare and submit a personal statement describing the nature of your disability and how it has impacted your daily life2.
  • Submit current3 documentation furnished by an independent4 evaluator5 who is qualified to assess your particular disability. Such documentation should be in the form of an evaluation report that includes:
    • A specific diagnosis (e.g., ICD code for a physical disability or DSM code for a cognitive disorder)
    • An explanation of how that diagnosis was determined, including:
      • An objective history (for a cognitive disability)
      • Appropriate diagnostic test scores and other results6
    • A description of how the disability impacts your ability to perform major life functions in comparison with the average person in the general population
    • The recommended testing accommodations
    • A rationale for each recommended testing accommodation
    • Proof of the evaluator’s qualifications (e.g., a copy of professional license)

To ensure confidentiality, send your completed Testing Accommodations Request form and all required documentation to: 

NABNE – Testing Accommodations Request
Suite 119, #321
9220 S.W. Barbur Blvd.
Portland, OR  97219

To ensure that your request will be evaluated in time for the August 2018 exam administration, your package must be received by NABNE no later than May 31, 2018.

Notice of Determination

Approximately 4 weeks prior to the scheduled exam date, you will be contacted via letter and/or email with the decision regarding your request. If the request is denied, you will be given an explanation for the decision.  If your request is approved, you will be sent a letter documenting the accommodations that are being granted; you will need to sign and return this document to NABNE.

A request for accommodations may be denied if NABNE determines that:

  • Your evaluator was not qualified to make the assessment.
  • A specific diagnosis of a physical or mental impairment was not provided by your evaluator.
  • The information provided in the documentation furnished by your evaluation specialist is:
    • Not consistent with the claimed diagnosis and/or claimed functional limitations.
    • Not adequate to substantiate the claimed disability and/or the claimed functional limitations.
    • Not consistent with, or is not adequate to substantiate a claim that the limitations in a major life activity is substantial as compared to the average person in the general population.
  • The testing accommodations you have requested are not reasonable or not appropriate to the functional limitations related to your disability.

If your request for testing accommodations has been denied, your options are to take the examination(s) without the requested accommodations or to forfeit your exam fees.

Subsequent Testing Accommodation Requests

An applicant who has been granted testing accommodations in the past will not automatically be granted the same accommodations in a subsequent exam administration. To request testing accommodations for subsequent exam administrations, you must submit a new Testing Accommodations Request form every time you apply to take the NPLEX.  Although new documentation from an evaluator may or may not be required7, you are responsible for ensuring that the documentation NABNE has on file meets the requirements outlined earlier. If you plan to request testing accommodations for the upcoming exam administration, contact NABNE in advance of the application period for the upcoming exam administration to determine if additional documentation is required.

If your previous request for testing accommodations was denied, you may resubmit a testing accommodations request that includes additional information to be evaluated for the current exam administration. However, further documentation will not change the outcome if any of the following examples constitute the reason for denial:

  • You are claiming to have a developmental disability and the absence of early diagnosis and academic history in the earlier report was due to the fact that you do not have a verifiable history of such a disability.
  • The information provided in the earlier report is inconsistent with the claimed disability.
  • Your functioning is not substantially impaired relative to the average person in the general population.
  • The only area of your life in which this disability has an impact is in the inability to pass the examinations.

1 If the documentation that is submitted by the deadline is not sufficient to establish a qualified disability, it is not NABNE’s responsibility to obtain additional required information.

2 If you are requesting accommodations for a cognitive disability, you must describe how it has impacted the cognitive aspects of your life and how the testing accommodations you are requesting will address the difficulties you have described. Specifically, we want to know how your cognitive difficulties relate to taking a multiple choice  examination.

3 “Current” depends on the nature of the disability. Applicants who have a disability that is unlikely to change (e.g., visual impairment) might not be required to submit documentation that is not current within the last few years.

4 An independent evaluator is someone who is not affiliated with a naturopathic program.

5 For example, a neuropsychologist is qualified to evaluate cognitive disorders.

6 Most people who take an entire battery of neuropsychological tests will demonstrate relative strengths and weaknesses and/or limitations in one or more areas. While scores on such tests provide useful supporting documentation when an individual is claiming a learning disorder, they are not sufficient, in and of themselves, to establish the existence of a disability.