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Testing Accommodations


FSBPT is committed to providing full access to the NPTE to individuals with documented disabilities while ensuring the security, integrity, and validity of the examination. If you are an exam candidate with a recognized disability or impairment, you can request testing accommodations under the Americans with Disabilities Act (ADA).

What are Testing Accommodations?

Testing accommodations help ensure that the test measures what it purports to measure, rather than the negative effects of a disabling condition. The purpose of testing accommodations is to provide candidates with full access to the test, not to guarantee improved performance, a passing score, test completion, or any other specific outcome.

Testing accommodations are individualized and considered on a case-by-case basis. Consequently, no single type of testing accommodation (e.g., extra time) would necessarily be appropriate for all individuals with disabilities.

Depending on the nature of your disability, accommodations may include:

  • Additional exam time
  • A reader or scribe
  • A separate testing room
  • Zoom Text®

This is not an exhaustive list; FSBPT will consider any reasonable request for accommodations.

Which Testing Accommodations are Right for Me?

Specific testing accommodations must be related to functional limitations. For example, a functional limitation might be impaired mobility due to loss of a hand, which prevents the test-taker from writing, typing, and recording answers. The appropriate testing accommodation might be to have the assistance of a human recorder/scribe. It is essential that the documentation of the disability provide a clear explanation of the current functional limitation(s) and a rationale for each requested test accommodation. You should work with your doctor or other professionals who know you to determine which test accommodations are appropriate for you.

How to Request Testing Accommodations

The process for requesting testing accommodations depends on the jurisdiction where you are seeking licensure. If you are seeking licensure through any of the following states, FSBPT will review your request for accommodations:

  • Alabama
  • Alaska
  • Colorado
  • Delaware
  • Georgia
  • Hawaii
  • Iowa
  • Kansas
  • Louisiana
  • Maine
  • Maryland
  • Michigan
  • Nebraska
  • New Hampshire
  • New Jersey
  • New Mexico
  • North Carolina
  • North Dakota
  • Ohio
  • Oregon
  • Rhode Island
  • South Dakota
  • Texas
  • Utah
  • Virginia
  • Washington
  • Wisconsin

If you are NOT registered through one of the states listed above, you will need to contact your licensing authority to request accommodations. You do not need to submit any supporting documentation to FSBPT.

The FSBPT Accommodations Process

If you are seeking licensure through one of the states listed above, FSBPT will review your request for accommodations. To submit your request, please follow the steps outlined below.

Step 1: Register for the NPTE

FSBPT can only conduct a formal review of your request once you have registered for the exam and paid your exam fees. As part of the registration, you will indicate that you are testing through one of the states above and that you will be requesting testing accommodations.

Step 2: Review our Documentation Requirements and Submit Documentation

Carefully review the FSBPT Documentation Guidelines document and share it with your evaluator. Assemble your supporting documentation and submit it to FSBPT along with the FSBPT Accommodations Request Form via secure document upload at www.fsbpt.org/adadocs.

Step 3: Application Review

FSBPT reviews requests for accommodations in the order in which they are received. Reviews cannot be expedited. You should therefore submit your request for accommodations as far in advance of your exam date as possible to allow for the review process.

FSBPT staff will review your request and may have your request reviewed by experts at Paradigm Testing or by other independent reviewers. FSBPT has the ultimate discretion to approve or deny requests for testing accommodations.

You can expect a decision on your request in approximately ten business days, though reviews may take longer during very busy times. FSBPT will communicate your decision via email.

Step 4: Schedule your Exam

If your request for accommodations is approved, you will receive an Authorization to Test letter reflecting the approved accommodations via email within two business days. To schedule your testing appointment, follow the instructions included in the Authorization to Test letter.

If FSBPT denies your request for accommodations or deems it incomplete, you will receive an Authorization to Test letter within two business days. You will then be able to schedule a standard testing appointment.


Incomplete Requests

If FSBPT reviews your request for accommodations and deems it incomplete, that means FSBPT needs additional information to determine if testing accommodations are warranted. This is NOT a denial of the request. To continue the accommodations process, upload additional supporting documentation to FSBPT at www.fsbpt.org/adadocs. The review timeline for a previously incomplete request is generally ten business days.


If FSBPT denies your request for accommodations, you have the option to submit an appeal. Appeals should include a detailed rationale for your appeal along with additional supporting documentation that addresses any deficiencies outlined in your decision letter. Upload your completed Accommodations Appeal Form and supporting documentation to FSBPT at www.fsbpt.org/adadocs. The review timeline for an appeal is ten business days.