Medical Documentation Guidelines for MPRE Test Accommodations

Important Update to the MPRE Test Accommodations Application Process

NCBE is excited to announce that on November 2, it will launch a new online MPRE test accommodations application. The online application has been designed to simplify the test accommodations process.

Due to the transition to the new online application, NCBE will be unable to accept requests for accommodations between September 18 and November 1, 2021.

On November 2, 2021, NCBE will begin accepting requests via the new online MPRE test accommodations application. The new application will be available within each candidate’s NCBE Account.

Note that, if approved, accommodations for unchanging conditions may be approved for a period of eligibility up to 24 months. The expiration date of an approved accommodation will be listed on your Accommodations Confirmation.

NCBE provides Guidelines for Medical Documentation of ADHDLearning DisabilitiesNeurocognitive DisordersPsychological DisabilitiesPhysical and Chronic Health-Related Disabilities, and Visual Disabilities to assist applicants and their professionals in documenting the need for accommodations on the MPRE. We recommend that you provide your doctor or other qualified professional with a copy of the Guidelines applicable to your disability.

Generally, medical documentation must

  • be typed or printed on official letterhead, signed by a professional who is qualified to make the diagnosis, and establish the credentials of the professional to make the diagnosis (e.g., licensure, certification, area of specialization)
  • state the diagnosis(es) based on current diagnostic criteria
  • be sufficiently recent or current (typically within the past five years for learning disabilities and ADHD, and within the past year for physical, chronic health-related, and psychological disabilities)
  • describe the specific functional limitations and explain how the disability will impact the applicant in taking the MPRE
  • include a complete educational, developmental, and medical history relevant to the disability for which testing accommodations are being requested
  • include a list of all test instruments used in the evaluation and provide age-based standard scores for all normed measures (percentiles alone are not sufficient)
  • include an interpretation and discussion of diagnostic findings
  • describe any treatment and the effectiveness thereof
  • describe the specific accommodations recommended for the MPRE
  • provide a rationale for each accommodation requested

Refer to the Guidelines for your specific disability for detailed information.