You might not receive the same accommodations for the NPLEX as you receive from your current approved naturopathic medical program (ANMP).

COURTESY ACCOMMODATIONS (for limitations that require only minor adjustments to the physical testing environment)

If you have a limitation (e.g., a fractured arm or leg, an advanced pregnancy, etc.) that does not rise to the level of a functional disability that requires alteration of the standardized testing conditions, 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 November 30, 2022. To receive a copy of the Courtesy Accommodations Request Form, contact NABNE at

Examinees are no longer allowed to use noise-canceling headsets in the testing room. You can request to use a noise-reducing headset, which NABNE will provide, by submitting a Courtesy Accommodations Request Form no later than the application deadline.

Off-the-testing-clock break time or extended testing time are not considered courtesy accommodations. If you are requesting extended testing time, you must request and complete the appropriate forms, and be evaluated by a qualified professional (e.g., a neuropsychologist) who can provide objective evidence (results of psycho-educational testing) of a functional limitation that requires that you receive this accommodation.

TESTING ACCOMMODATIONS THAT ADDRESS FUNCTIONAL DISABILITIES (for disabilities requiring accommodations that alter the conditions under which the examination is administered)

In general, a disability is defined as a physical, cognitive, or mental impairment that substantially limits one or more of an individual’s major life activities. Not all disabilities, however, impact an examinee’s ability to access (take) a multiple-choice examination. To be granted testing accommodations by NABNE for the administration of the NPLEX, the applicant must submit objective evidence (e.g., results of a psycho-educational assessment) of a disability that causes functional limitations relevant to taking a multiple-choice examination.1 Providing accommodations to an examinee who does not have a disability is likely to provide an advantage that other examinees have not received, compromising the fairness of the exam process.

To have an application for testing accommodations be considered for the February 2023 exam administration, you must register to take the upcoming NPLEX examination(s)2, and NABNE must receive, no later than November 30, 2022, all required documentation3, establishing that:

  • You are an individual who has current functional impairments that arise due to a disability;
  • These impairments cause functional limitations that impact your ability to access a multiple-choice examination;


  • The requested testing accommodations are reasonable4 and address the specific functional limitations relevant to taking a multiple-choice examination.

To apply for testing accommodations, you should request the current NABNE Applicant Testing Accommodations Request Forms by writing to If NABNE has not received the testing accommodations application, on current forms, with complete documentation by the end of the exam registration period (November 30, 2022), the 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 any required documentation is received after the application period has ended, you will be given the option of either taking the examination(s) without the requested accommodations, or cancelling your application and forfeiting all application fees and part of the exam fee(s).

Requesting Testing Accommodations

To apply for testing accommodations and ensure that the request will be considered in time for the upcoming NPLEX administration, it is your responsibility to:

  • Register to take an NPLEX examination.
  • Complete the CURRENT NABNE Applicant Testing Accommodations Request Form.
  • Prepare and submit a personal statement that specifically describes how your functional limitations impact your ability to take a multiple-choice examination. (This statement is optional; it is intended to give you an opportunity to provide relevant information that might not be provided by your evaluator.)
  • Have a professional who is qualified6 to assess your particular disability send current7 documentation directly to NABNE8 on the NABNE Evaluator’s Report Form that includes:
    • A description of the nature of the condition, to include:
      • A verbal description, or a specific diagnosis9 such as a DSM-5 or ICD code.
      • The criteria used to substantiate any diagnosis made.
    • An explanation of how the condition or diagnosis was determined, to include:
      • 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 scores10 and/or physical findings that are relevant to your ability to access a multiple-choice examination.
      • Interpretation of test scores and/or physical findings.
      • A clinical summary, integrating history and results of psycho-educational testing and/or objective physical examination, indicating how they relate to your ability to take a multiple-choice examination.
    • A description of your CURRENT functional limitations and how they relate to taking a multiple-choice examination.
    • Proof of the evaluator’s qualifications (e.g., the evaluator’s credentials, licensure status, membership in an applicable professional regulatory body, specialty, etc.).
    • Ensure that all accommodations request documents are received by NABNE no later than the end of the application period: November 30, 2022.

Your documentation will be reviewed by one or more of NABNE’s expert documentation review specialists (DRSs), each of whom will provide an impartial interpretation of the information provided. Every NABNE DRS has a doctoral degree (PhD, EdD, or PsyD) with specialty training in the disability assessment process. All have many years of experience reviewing evaluations such as the ones submitted by applicants for accommodations, and are aware of applicable legal requirements. After the DRS reviews the documentation, NABNE will determine whether or not the request for accommodations will be granted.

Applications for accommodations and all required documentation for the upcoming exam administration should be emailed in PDF format to or faxed to 503-452-3943. To ensure that your request will be evaluated in time for the February 2023 exam administration, all documentation must be received by NABNE no later than November 30, 2022.

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

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

  • The objective evidence provided in the documentation furnished by your evaluator is:
    • Not adequate to substantiate the claimed disability and/or the claimed functional limitation(s).


    • Not consistent with, or 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 not appropriate to the functional limitation(s) related to your disability.

Notice of Determination

Approximately four (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 memo 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 Accommodations Requests

An applicant who has been granted testing accommodations in the past will not automatically be granted the same accommodations for a subsequent exam administration. To request testing accommodations for subsequent exam administrations, you must submit a new NABNE Applicant 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.

If your previous request for accommodations was denied, you may resubmit an accommodations request for a future exam administration 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.

Issues and Appeals Regarding Testing Accommodations Decisions

If you wish to appeal a decision regarding your testing accommodations application, you must submit your appeal to NABNE in writing, addressed to the Test Accommodations Committee of the NABNE Board.  Send your letter to  Due to the short time frame between accommodations decisions and the exam administration, the Board will not be able to respond before the upcoming exam administration, but NABNE will make every effort to provide a response to your appeal within six (6) weeks of its receipt.

1 The NPLEX is a multiple-choice examination that requires you to be able to read and comprehend text. The examinations do not require math calculation, oral fluency, or compositional writing.

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

If the documentation submitted to NABNE by the deadline is not sufficient to establish that you have a disability that impacts your ability to access a multiple-choice examination, it is not NABNE’s responsibility to follow up and obtain the required  information.

4 A reasonable accommodation is an adjustment to or modification of standard testing conditions that addresses the functional limitation(s) that is (are) related to an examinee’s disability, without giving undue advantage to the examinee who receives the accommodation; without compromising the validity or security of the examination; without fundamentally altering the measurement of knowledge, ability, or skill that the test is intended to measure; and without imposing an undue hardship on NABNE.

5 The current forms for the upcoming administration will be available from NABNE approximately ten (10) weeks before the deadline for submission.

6 All evaluators must be doctoral-level practitioners. For a cognitive/developmental/psychological assessment, your evaluator must have been trained to administer and interpret psycho-educational assessments (e.g., has a PhD or PsyD in neuropsychology). For a physical/sensory assessment, your choice of evaluator depends on the type of impairment [e.g., visual impairment will be appropriately evaluated by an ophthalmologist, structural impairment will be appropriately evaluated by an orthopedic doctor or a chiropractic doctor, physical impairment (e.g., ulcerative colitis, fibromyalgia) will be appropriately evaluated by an ND, DO, or MD, etc.].

7  If the most current evaluation is more than five (5) years old, you will be required to have a new evaluation. If your most recent evaluation is fewer than five (5) years old, contact NABNE to find out if a current evaluation is required, as current depends on the nature of the impairment.  Regardless of the recency of your evaluation, you must have your evaluator complete a February 2023 NABNE Evaluator’s Report Form.

8 The report must be sent directly from the evaluator to NABNE. NABNE will not accept NABNE Evaluator’s Reports sent by you.

9 A diagnosis (e.g., DSM-5 or ICD code) is not required. Although information regarding diagnosis and history may be withheld at your discretion, if the information is not provided, it may affect NABNE’s ability to reasonably assess the accommodations request.

10 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.