High-Stakes Exam Accommodations Evaluations

Your scores should reflect what you know — not how fast you process.

Comprehensive psychoeducational evaluations for adults seeking accommodations on the LSAT, MCAT, GRE, USMLE, and Bar Exam. Primarily virtual, with documentation tailored to the requirements of each testing organization.

Adult man in a suit taking an exam, representing support for high-stakes testing accommodations.

You’ve put in the work. Let’s make sure the testing environment gives you a fair shot.

High-stakes exams like the MCAT, LSAT, GRE, USMLE, and Bar Exam are designed to measure knowledge and skill — but for adults with ADHD, learning disorders, or executive functioning differences, timed testing can create barriers that have nothing to do with what you actually know. At The Center for ADHD, we provide comprehensive psychoeducational evaluations for adults seeking accommodations on major graduate and professional exams. Our assessments go beyond diagnosis to document the specific, functional impact of your condition on exam performance — the kind of evidence testing organizations actually require, provided primarily virtually for your convenience.*

Adult man in a suit taking an exam, representing support for high-stakes testing accommodations.

This may be the right fit if you:

  • Run out of time consistently, even when you know the material cold.
  • Lose focus or re-read passages repeatedly under pressure.
  • Hit a wall of mental fatigue midway through long testing sessions.
  • Had prior accommodations but need updated documentation now.
  • Have never been formally evaluated but have always suspected something more is going on.
  • Feel that your practice scores don’t reflect your actual understanding.

Most clients are best served by starting 3–6 months before their planned exam date — many testing agencies take weeks or months to review requests, and some require approval before you can even schedule your exam.

Don’t wait until a deadline is looming — start the process early and give yourself time to get this right.

*A small number of exams may require in-person testing to meet documentation standards. We will let you know during your consultation if this applies to your situation.

A diagnosis is a starting point — not a finish line.

Under the ADA, testing organizations like LSAC, AAMC, ETS, NBME, and state bar boards are not required to grant accommodations simply because someone has an ADHD or learning disability diagnosis. What they require is evidence of functional impairment — documentation that shows how your condition specifically limits your ability to read, process, concentrate, or perform under timed conditions, and why the accommodations you’re requesting directly address those limitations. A letter from a psychiatrist confirming a diagnosis is typically not sufficient on its own. A comprehensive psychoeducational evaluation bridges that gap by connecting your cognitive profile, history, and observed limitations to the specific demands of your exam.

It’s not about whether you have ADHD. It’s about whether — and how — your ADHD affects performance under the exact conditions of that exam.

What our evaluation includes:

  • 1
    Free Consultation — We confirm fit, exam, timeline, and whether existing documentation may be usable.
  • 2
    Clinical Interview — A 1-hour conversation covering academic history, testing patterns, and functional challenges.
  • 3

    Testing Sessions — Cognitive and executive functioning, attention, working memory, processing speed, reading fluency, and academic achievement. Conducted primarily virtually.*

  • 4
    Exam-Specific Report — A thorough written report aligned with your testing organization’s documentation standards, with evidence-based justification for the accommodations we recommend.
  • 5
    Feedback & Next Steps — We walk through results together and map out your documentation submission plan.

*Some exams may require in-person testing to meet documentation standards. We will confirm during your consultation.

At The Center for ADHD, we provide accommodations evaluations for 5 major exams.

LSAT

For law school applicants seeking extended time, reduced-distraction testing, or other supports through LSAC. Documentation must meet LSAC’s specific standards — a diagnosis alone is not sufficient.

MCAT

For pre-med students who need current, AAMC-compliant documentation with enough lead time built in for the review process.

GRE

For graduate school applicants with ADHD, reading-based learning disorders, or processing speed concerns seeking accommodations through ETS.

USMLE (Medical Boards)

For medical students pursuing Step 1 or Step 2 accommodations through NBME, where documentation standards are detailed and planning ahead is critical.

PA Bar Exam

For law graduates applying for PA state bar or MPRE accommodations, including adults who need a first-time or updated evaluation.

Not sure which evaluation is right for you, or whether your existing documentation may still be usable? Book a free consultation — we’ll help you figure out the best path forward.

Common Questions:

No. Some clients come to us with a confirmed diagnosis and need updated documentation. Others have never been formally evaluated but have lifelong patterns that suggest ADHD or a learning disorder. We can evaluate both.
Yes — and this is one of the most common misconceptions. Academic success does not rule out a qualifying disability. Many adults with ADHD or learning disorders have compensated through significant extra effort for years, and that history is clinically meaningful. What matters under the ADA is whether your condition causes functional impairment under timed exam conditions.
We recommend starting 3–6 months before your planned exam date. Testing agencies can take weeks or months to review accommodations requests, and some — like the MCAT, GRE, and USMLE — require approval before you can even schedule your exam. Earlier is almost always better.
Most of our assessments are conducted virtually, which makes scheduling more flexible. A small number of exams may require in-person testing to meet documentation standards — we’ll confirm which applies to your situation during the initial consultation.
Sometimes, with updates. Some testing organizations accept recent evaluations completed for another exam; others have specific requirements. We’ll discuss this during your consultation so you’re not paying for more than you need.
An updated or more comprehensive evaluation can often strengthen a reconsideration request. Contact us to discuss what may have been missing and what your next steps look like.

Our Services

Delivering Expert Care

ADHD Diagnostic Evaluation

Get a specialized, virtual ADHD evaluation to clarify your symptoms and recommend next steps—all from your own home.

Comprehensive Assessment

For students and professionals seeking accommodations for school, work, or high-stakes testing. Includes a full cognitive and personal strengths profile.

Adult Autism Diagnostic

Gain transformative insights into your neurotype, pinpointing both your strengths and challenges.

ADHD Therapy

Rediscover joy, confidence, and connection with structured strategies tailored for your unique ADHD journey.

Career Planning Assessment

Navigate your career path with an Occupational Evaluation tailored to your skills, interests, and personality.

ADHD Coaching

Boost your parenting skills through ADHD-informed coaching. Learn to balance challenges and leverage your strengths.

Free Consultation

Your Path to Fair Testing
Starts Here

Your Compassionate Treatment Starts Here

Before diving in, let’s talk. A free initial consultation ensures we understand your exam, your timeline, and your specific situation — so we can build the right evaluation plan for you.

Before diving in, let’s touch base. An initial consultation ensures we understand you and your specific experiences.

adult adhd woman on sofa