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 require only modification of a physical component of the testing environment; however, you may be required to submit a note from your physician or other professional. 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. Write to NABNE at to receive a copy of the Courtesy Accommodations Request Form.


NABNE grants accommodations to examinees who provide sufficient evidence that they have a disability that can/must be accommodated, so that all examinees have an equal opportunity to demonstrate the knowledge being tested. Granting accommodations to an examinee who does not have a disability, as defined below, could provide an advantage that other examinees have not received, compromising the fairness of the exam process.

To have your request for testing accommodations considered for the August 2020 exam administration, you must register to take an NPLEX Examination, and NABNE must receive, no later than June 1, 2020, your completed Testing Accommodations Request Packet, including complete documentation establishing that:

  • You are an individual with a disability;
  • Testing accommodations are necessary to address the functional limitations related to the disability;


  • The requested testing accommodations are reasonable and appropriate for the established disability.

NABNE is under no obligation to provide the same accommodations as those provided by your current approved naturopathic medical education program (ANMP).


A disability is a physical, cognitive, or mental impairment that substantially limits one or more of an individual’s major life activities.

A reasonable accommodation is an adjustment to or modification of standard testing conditions which addresses the functional limitation(s) in the testing context that is (are) related to an examinee’s disability. Although each case will be considered on its own merits, an accommodation will, in general, be considered to be unreasonable if it:

  • Gives an undue advantage to the individual who receives the accommodation;
  • Compromises the validity of the examination;
  • Fundamentally alters the measurement of the knowledge, skill, and ability that the examination is intended to test;
  • Compromises the security of the examination;


  • Imposes an undue hardship on NABNE.

Initial Testing Accommodation Request

NABNE will make a final determination regarding the provision of accommodations only in reference to the upcoming exam administration, and only for applicants who are currently registered and have submitted timely and complete requests for accommodations.

If you intend to request testing accommodations, you should obtain the current NABNE Testing Accommodations Request Packet for the upcoming exam administration by writing to Please specify in your email the type of disability your requested accommodations are intended to address (cognitive/developmental/psychological or physical/sensory). If NABNE has not received your testing accommodations request with complete documentation by the end of the application period, your request will not be evaluated in time for the upcoming exam administration. It is not NABNE’s responsibility to follow up to obtain missing documentation. If all required documentation is not received by the end of the application period, you will be given the option of either taking the examination without the requested accommodations, or cancelling your application and forfeiting all of your application fees and part of your exam fees.

To request testing accommodations and to ensure that your request will be evaluated in time for the upcoming exam administration, it is your responsibility1 to:

  • Complete the current NABNE Testing Accommodations Request Form.
  • Prepare and submit a personal statement describing the nature of your disability and how the testing accommodations being requested will address your functional limitations (e.g., how your cognitive disability affects your ability to take a multiple-choice examination, why your physical disability requires that you receive extra testing time, etc.).
  • Have a professional who is qualified to assess your particular disability2 send current3 documentation directly to NABNE4 in the form of an evaluation report that includes:
    • A description of the nature of the condition, which should include:
      • A verbal description, or a specific diagnosis5 such as a DSM or ICD code.
    • An explanation of how the condition or diagnosis was determined, which should include:
      • A a history of the disability with a review of objective information (e.g., school performance before accommodations were granted, reports by former teachers or family members, etc.).
      • Appropriate psycho-educational test scores5 and/or physical findings.
      • Interpretation of test scores and/or physical findings.
      • A clinical summary, integrating history and results of psycho-educational testing and/or objective physical examination.
    • A description of your CURRENT functional limitations in the context of taking a multiple-choice examination.
    • Proof of the evaluator’s qualifications (e.g., the evaluator’s credential, licensure status, membership in an applicable professional regulatory body, specialty, etc.).  Relevant instructions and forms for the evaluator are included in the NABNE Testing Accommodations Request Packet.
  • Register to take an NPLEX examination.
  • Ensure that all accommodations request documents are received by NABNE no later than the end of the application period:  June 1, 2020.

Your testing accommodations request and all required documentation for the upcoming exam administration should be sent to:

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

To ensure that your request will be evaluated in time for the August 2020 exam administration, your package must be received by NABNE no later than June 1, 2020.

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

  • Your evaluator was not qualified to make the assessment.
  • An adequate description of your condition was not provided by your evaluator.
  • The information provided in the documentation furnished by your evaluation specialist is:
    • Not adequate to substantiate the claimed disability and/or the claimed functional limitation(s),


    • Not consistent with, or is not adequate to substantiate a claim that the limitation(s) is (are) significant in the context of taking a multiple-choice examination.
  • The specific testing accommodation(s) you have requested is (are) not reasonable or appropriate to the functional limitation(s) related to your disability.

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 your request is granted, you will be sent a letter documenting the accommodations you will be provided; you will need to sign and return this document to NABNE. If your request is denied, you will be given an explanation for the decision; your options will be to take the examination(s) without the requested accommodations, or to cancel your application and forfeit all application fees and part of 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 a disability specialist might not be required, you are responsible for ensuring that the documentation NABNE has on file meets the requirements outlined earlier. 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, for a future exam administration, you may may resubmit an accommodations request that includes additional information. However, further documentation will not change the outcome if the information provided in the new report is inconsistent with the claimed disability or relevant functional limitations.

If the documentation submitted to NABNE by the deadline is not sufficient to establish that the applicant has a disability for which testing accommodations are warranted, it is not NABNE’s responsibility to follow up and obtain the required information.

2 For example, cognitive/developmental/psychological disorders will be appropriately evaluated by a neurophsycologist.

3 “Current” depends on the nature of the disability. For cognitive/developmental/psychological disorders, if comprehensive psycho-educational testing was not completed within the last three to five (3-5) years, a qualified professional should administer and report an alternative objective measure of the applicant’s current functioning. Applicants who have a disability that is unlikely to change (e.g., visual impairment) might not be required to submit documentation that is current within the last few years. If your documentation is more than three (3) years old, ask NABNE if a new evaluation is required.

4 The report must be sent directly from the evaluator to NABNE. NABNE will not accept evaluation reports sent by the applicant.

5 A diagnosis (e.g., DSM or ICD code) is not required, but because it is a shorthand for describing a condition, it can substitute for a lengthy verbal discussion.

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 cognitive disorder, a few low scores are insufficient, in and of themselves, to establish the existence of a disability.