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How to Get College & High-Stakes Test Accommodations (SAT, GRE, MCAT, LSAT, Bar): Documentation, Requirements & Deadlines (2025 Guide)

  • Writer: Leonard Evaluations
    Leonard Evaluations
  • Sep 25
  • 4 min read

Updated: Dec 11

TESTING ACCOMMODATIONS FOR SAT, GRE, MCAT, LSAT, AAMC, NMBE, MPRE, Praxis & BAR Exams
TESTING ACCOMMODATIONS FOR SAT, GRE, MCAT, LSAT, AAMC, NMBE, MPRE, Praxis & BAR Exams

Author: Leonard Educational Evaluations, LLC. For more information, please contact Leonard Educational Evaluations at 267-702-6328, or www.LeonardEvaluations.com 


What Are Testing Accommodations?

Testing accommodations ensure equal access for students with disabilities under the ADA, Section 504, and state disability laws.

Common accommodations include:

  • Extended time (50%, 100%, double time)

  • Breaks (standard or extended)

  • Reduced-distraction room

  • Use of a computer for essays

  • Screen readers or text-to-speech

  • Permission to bring medication or medical items

  • Large-print or paper-based materials

Accommodations do not change the test’s content—they ensure the student can show their abilities without being limited by ADHD, anxiety, dyslexia, processing speed issues, autism, or other disabilities.


What Documentation Do You Need for Accommodations?

Every testing agency requires documentation that meets these standards:

✔ A current evaluation (usually within 3–5 years)

✔ A diagnosis that impacts major life activities

✔ Evidence of functional impairment

✔ Test scores showing how the disability affects performance

✔ A clear rationale for each accommodation requested

✔ A history of using similar accommodations, if applicable

Evaluations must include standardized testing (e.g., cognitive, academic, processing speed, attention, executive functioning), a diagnostic report, and recommendations.


SAT / ACT (College Board & ACT)

The SAT (through the SSD system) and ACT often approve accommodations if students have:

Required:

  • A diagnosis (ADHD, dyslexia, anxiety, etc.)

  • Testing showing functional impairment

  • A history of school accommodations (IEP/504/college disability services)

Notes:

  • Schools sometimes submit documentation directly → approvals can be fast.

  • Private evaluations are recommended when schools deny accommodations or when no current testing exists.

Typical Accommodations:

  • Extended time

  • Breaks

  • Calculator permissions

  • Computer use for essays

  • Small-group or private room


GRE (ETS)

ETS has one of the more flexible accommodation systems but still requires strong documentation.

Required:

  • A comprehensive evaluation (usually within 5 years)

  • Evidence of impairment on timed academic tasks

  • A narrative linking symptoms → test limitations → requested accommodations

Often Approved:

  • 50% extended time

  • 100% extended time

  • Extra breaks

  • Separate room

  • Speech-to-text for written responses

Students applying to graduate programs often need updated documentation to meet ETS standards.


MCAT (AAMC)

The MCAT has strict documentation requirements and one of the most rigorous review processes.

Required:

  • A full psychoeducational or neuropsychological evaluation (usually ≤3 years old)

  • Objective test data showing significant impairment

  • A clear functional statement

  • History of accommodations (if applicable) but NOT required

AAMC will deny requests if documentation is:

  • Too old

  • Missing processing speed / executive functioning measures

  • Missing academic fluency testing

  • Lacking a diagnostic rationale

Commonly Approved:

  • Extended time

  • Extra breaks

  • Reduced-distraction room

  • Computer use

  • Specialized formats


LSAT (LSAC)

LSAC uses Category 1, 2, or 3 documentation depending on disability type.

Required:

  • Detailed diagnostic report

  • Test scores demonstrating impairment

  • History of prior accommodations helps—BUT LSAC no longer assumes students won’t need documentation if they had accommodations historically.

Typically Approved:

  • Extra time

  • Stop-the-clock breaks

  • Separate room

  • Use of a computer for writing tasks

Law schools do not see whether accommodations were granted.


Bar Exam Accommodations

State bar exam accommodations vary, but most require:

Required:

  • A recent evaluation showing impairment

  • Clear rationale for extended time or breaks

  • Documentation explaining impact on reading, writing, stamina, focus, anxiety, or processing speed

Bar examiners are often strict about:

  • Recency of testing

  • Evidence of functional limitations

  • History of accommodations in law school or LSAT


Timelines & Deadlines (Don’t Miss These!)

  • SAT/ACT: 6–8 weeks before exam

  • GRE: 6 weeks recommended

  • MCAT: 60+ days before testing

  • LSAT: 6–8 weeks before the test date

  • Bar Exam: Varies by state, but often 3–4 months before the exam

Submitting earlier improves approval odds.


Common Reasons Requests Are Denied

  • Documentation too old

  • Diagnosis not clearly justified

  • Missing test scores

  • Lack of functional impact described

  • No connection between disability and requested accommodations

  • Incomplete forms

  • No prior history of accommodations (NOT required, but review boards often ask about it)

A strong evaluation clearly explains how symptoms affect test performance.


When Should You Get an Updated Evaluation?

You likely need updated testing if:

  • Your last evaluation is older than 3–5 years

  • You never had a formal diagnosis

  • You were evaluated as a child but now applying for graduate school

  • Law/medical schools require updated documentation

  • You previously received testing accommodations but cannot locate old reports


How We Can Help

Leonard Educational Evaluations provides comprehensive psychological, psychoeducational, and neuropsychological evaluations for:

  • College accommodations

  • SAT, ACT

  • GRE, MCAT

  • LSAT, Bar Exam

  • Nursing exams (NCLEX)

  • Licensing boards

Our evaluations include:

  • Cognitive testing

  • Academic testing

  • Attention/executive functioning measures

  • Processing speed

  • Memory & learning

  • Emotional/behavioral measures

  • Full diagnostic report + accommodation rationale

We help students understand their profile, secure accommodations, and perform at their best.


FAQ

Do I need a new evaluation if I had one in high school?

Most agencies require documentation within 3–5 years, especially for ADHD, learning disorders, anxiety, or processing issues.


Will colleges or professional schools see my accommodations?

No. Accommodations are confidential.


Can I get accommodations without prior school accommodations?

Yes. Prior history helps, but is not required.


Does medication alone qualify me for ADHD accommodations?

No. You must demonstrate functional impairment through evaluation data.


How long does approval take?

4–8 weeks depending on the agency and completeness of documentation.


Start Your Evaluation Today

Your academic path shouldn’t be limited by untreated symptoms, outdated reports, or inadequate documentation. If you’re applying to college, graduate school, professional school, or preparing for a high-stakes exam, we can help you secure the accommodations you deserve. Call us at 267-702-6328 or click on the contact button below today!



 
 
 

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