Applying for MCAT Accommodations

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The MCAT (Medical College Admission Test) is already a challenging test, but for many students who have disabilities, impairments, and certain health conditions, achieving a competitive MCAT score can be even more difficult.

Fortunately, the Association of American Medical Colleges (AAMC) allows test takers to apply for MCAT accommodations on a case-by-case basis to level the playing field. The most commonly asked-for accommodations are extended time or stop-the-clock breaks.

Medicine is always looking to increase diversity and equity in all forms. Students and future physicians with disabilities cannot be excluded from the medical field merely because of a medical condition that only impacts their test-taking, not their ability to practice medicine.

Applying for accommodations includes medical evaluations, filling out biographical details, and a personal statement. In this free article, we’ll guide you step-by-step through the accommodation application process to set you up for success. Plus, you’ll find a detailed timeline at the end. 

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What Medical Conditions Qualify You for MCAT Accommodations?

Below are the health conditions that should qualify for MCAT accommodations:

  • Learning disabilitiesthe most common reason for accommodations being provided
  • Attention deficit disorder (ADHD)the second most common reason for approval
  • Psychiatric conditions
  • Physical impairment (including diseases or long-term illnesses)
  • Sensory impairment (such as hearing or vision issues)
  • Diabetes (mainly due to dietary accommodations and glucose monitoring needs)
  • Acquired brain injuries (such as concussion or traumatic brain injury)
  • Temporary medical conditions that necessitate an adjustment to testing conditions (such as a broken limb or nursing a newborn)
  • Other conditions not listed above, at the AAMC’s discretion

Here are the evaluation guidelines for different conditions:

What MCAT Accommodations Are Provided by AAMC?

Here are the MCAT accommodations that the AAMC may provide to you if you qualify:

  • Extended test time (most common)
  • Extended or additional breaks
  • A separate testing environment
  • Allowing food, drink, or medical equipment into the testing room
  • Pregnancy or nursing-related accommodations

Necessary Documentation

The AAMC requires applicants to provide supporting documentation to verify a health condition that necessitates MCAT accommodations.

Below are the documents you are required or recommended to submit with your accommodation application, depending on your specific condition:

  • Verification of previous accommodations you’ve received in high school, college, and standardized testing environments. (Required)
  • Standardized test score reports from similar tests you’ve taken, such as the SAT, ACT, or GRE. (Required for individuals with learning disabilities.)
  • Prior evaluations you’ve received similar to the required professional evaluation this time around. (Required for individuals with acquired brain injuries.)
  • Academic transcripts from high school, college, and post-bacc. (Strongly Recommended)
  • Supporting academic records such as tutoring evaluations, teacher comments about your academic difficulties, and clinical notes from your primary care physicians referencing academic issues or the need for accommodations. (Strongly Recommended) 

Timeline to Apply for MCAT Accommodations

Headline: Apply for accommodations three and a half months before your MCAT test date.

It typically takes a few weeks to get all the documentation together to apply for MCAT accommodations. Then the review process can take up to 60 days. You can appeal a rejected decision, but even that re-review could take 30 days.

You’ll receive a determination deadline based on your application type. It may take up to two business days for this deadline to be visible in your online portal.

The determination (approval, denial, or incomplete) will be communicated to you via email notification. Your accommodations need to be approved at least 15 days prior to your test date so that your testing center can make the necessary changes.

Ideally, start gathering documentation four months before test day, so that you can submit your application three and a half months before your test date. In many cases, applying for accommodations two and a half months before your MCAT date should be fine, but why risk it? 

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Requesting MCAT Special Accommodations (Step-By-Step)

Below, you’ll find step-by-step instructions on applying for MCAT accommodations.

I must reiterate how early you need to apply for accommodations, let alone how early you need to get evaluated by a qualified professional. Don’t let the accommodation application process start too late!

Step 1: Receive an Evaluation

The evaluation phase must be carried out by a professional with extensive training in the area of disability or impairment for which you are seeking accommodations. 

Important: Just having a particular degree or license does not necessarily mean that the professional has the training and experience in the appropriate area required for your assessment. For example, a letter from your parents’ doctor friend probably will not suffice.

All recommendations from qualified professionals should consider the actual task demands associated with standard MCAT test conditions, as well as the individual’s current functional limitations and history of prior accommodation.

For example, a recommendation for a computerized format is not warranted, given that the standard MCAT exam is already a computer-based test.

Previously granted accommodations may not necessarily be supported for the MCAT exam, given the demands of the current task.

For example, a recommendation for additional time on written responses is unwarranted because the MCAT is purely a multiple-choice test.

The evaluation should address a relevant history of the following:

  • Impact of the impairment on your education (such as performance on previous standardized tests like the SAT)
  • Prior accommodations (such as IEPs, Section 504 plans, extra time allowed on the ACT)
  • Prior interventions (such as tutoring or specialized private school placements)

You can reference the AAMC Evaluator Guide to see what application evaluators are looking for on your MCAT accommodation application.

Step 2: Start an Application on the AAMC Website

Create an AAMC account if you do not already have one. Set up your online profile at AAMC’s website.

Sign in to the Accommodations Application System and select “Create Application.” Select your “Type of Request.” You may apply for accommodations for the MCAT exam, PREview exam, or both at the same time.

Familiarize yourself with the format of the application, and ensure you understand what documents will be required of you well in advance of the deadline.

Step 3: Fill Out the Written Portions

Complete the Profile, Condition, and History sections. Answer honestly and holistically. Don’t exaggerate, but don’t be modest.

Unlike the AMCAS Personal Statement, the personal statement needs to be functional, not emotional. No need to describe why you want to be a doctor.

In the written sections of this application, you must concretely describe the following:

  • How your diagnosed medical condition impacts your ability to take the MCAT under typical circumstances.
  • Your condition and how it has impacted your life (facts, not emotions), and specifically, MCAT testing.
  • Your history of receiving accommodations — such as in elementary school, high school, college, and on previous standardized exams such as the ACT or SAT.
  • When, how, and by whom your condition has been documented in the past.
  • Why your requested accommodations are necessary.
  • What strategies, devices, or medications you ordinarily use to manage your condition, as well as how these are insufficient to manage your condition when taking the MCAT.

Note: If you’ve never applied for accommodations, you’ll need to explain why you’re applying for the first time.

Step 4: Upload Documentation

Upload your Current Comprehensive Evaluation, plus any other required documentation for your MCAT accommodation application, through AAMC’s online system. Don’t mail copies to them or anything like that.

Keep a copy of any documentation you submit because the AAMC won’t return any submitted documents.

Here is a list of documents you are either required or recommended to submit with your application, depending on your specific condition:

  • Evaluation of your condition(s) by a qualified professional
  • Previous evaluations you’ve received
  • Verification of previous accommodations
  • Academic transcripts
  • Standardized test score reports
  • Supporting academic records

A common reason why initial applications can be rejected is if students have failed to submit sufficient documentation of their condition. Err on the side of caution by being thorough.

After Approval

You will receive your determination (approval, denial, or incomplete) by email notification.

If your request is approved, contact your Pearson VUE test center. The AAMC will not inform them, and your testing location generally requires 15 days’ notice to prepare for your accommodations.

When you receive an approval determination, the AAMC should provide instructions for you to contact the testing center.

After approval and contacting your test center, focus on studying according to your MCAT study schedule.

Expert Tips When Applying for Accommodations

Here are some tips and tricks for applying for MCAT accommodations, based on MedSchoolCoach expert experience:

  • Apply 105 days before your test date. That’s three and a half months. I can’t stress enough that you need to give yourself enough time for the application review process, the appeal process, and the test center contact process to all occur.
  • Fill out your application in English. The AAMC will not review any application in a language other than English.
  • Careful about adding documents before they’re ready. You can add more later, but you cannot delete documentation from your application until a determination (approval or denial) has been made, which can take a long time.
  • Maintain a copy of your determination letter(s) for your records. Your MCAT and PREview accommodation application history, documentation, and determination letters are only kept in AAMC’s application system for 5 years from the date of your most recent determination.
  • For reconsiderations, appeals, extensions, or an incomplete determination, you basically have to reapply through the same online system, according to the AAMC. For reconsideration, add a follow-up letter from you or a qualified professional explaining why the previously provided information is insufficient. You don’t have to re-upload documents you’ve already submitted, but you can upload more documents or alter written portions of your application (except the history section).
  • You can withdraw your application temporarily or permanently — whether your reason is adding documents, changing written portions, or no longer wanting to be considered. Simply sign in to the Accommodations Application System, hover over the three dots, and select the “Withdraw” action next to the application you wish to withdraw.
  • Expect weekend or holiday delays. If the AAMC says you’ll get your determination on a weekend or holiday, the AAMC doesn’t actually send a determination until the following business day.
  • Don’t forget to authorize the relevant release of your application information. The AAMC will not discuss your application with a third party unless you fill out an Authorization for Release of Information form. This form can be found in the Service Request section of the AAMC application system.
  • You can reapply for accommodations if you’re retaking the MCAT. With the backing of a qualified professional, you can argue that your unique condition hindered your ability to take the exam under the standard MCAT test-taking conditions the first time around.
  • Contact the AAMC at accommodations@aamc.org if you or your evaluator have any questions about the application, appeal, or other aspects of MCAT accommodations.

Key Exam, Submission, and Appeal Dates

MCAT Exam DateRecommended Submission Deadline for Your MCAT Accommodation ApplicationRecommended Submission Deadline for Reconsiderations, Appeals, and ExtensionsRecommended Deadline to Inform Test Center (15 Days Prior to Exam Date)
January 9, 2026September 26, 2025November 25, 2025December 25, 2025
January 10, 2026September 27, 2025November 26, 2025December 26, 2025
January 15, 2026October 2, 2025December 1, 2025December 31, 2025
January 23, 2026October 10, 2025December 9, 2025January 8, 2026
February 13, 2026October 31, 2025December 30, 2025January 29, 2026
March 7, 2026November 22, 2025January 21, 2026February 20, 2026
March 20, 2026December 5, 2025February 3, 2026March 5, 2026
April 10, 2026December 26, 2025February 24, 2026March 26, 2026
April 11, 2026December 27, 2025February 25, 2026March 27, 2026
April 24, 2026January 9, 2026March 10, 2026April 9, 2026
April 25, 2026January 10, 2026March 11, 2026April 10, 2026
May 2, 2026January 17, 2026March 18, 2026April 17, 2026
May 8, 2026January 23, 2026March 24, 2026April 23, 2026
May 9, 2026January 24, 2026March 25, 2026April 24, 2026
May 14, 2026January 29, 2026March 30, 2026April 29, 2026
May 22, 2026February 6, 2026April 7, 2026May 7, 2026
May 30, 2026February 14, 2026April 15, 2026May 15, 2026
June 12, 2026February 27, 2026April 28, 2026May 28, 2026
June 13, 2026February 28, 2026April 29, 2026May 29, 2026
June 26, 2026March 13, 2026May 12, 2026June 11, 2026
June 27, 2026March 14, 2026May 13, 2026June 12, 2026
July 11, 2026March 28, 2026May 27, 2026June 26, 2026
July 24, 2026April 10, 2026June 9, 2026July 9, 2026
July 31, 2026April 17, 2026June 16, 2026July 16, 2026
August 15, 2026May 2, 2026July 1, 2026July 31, 2026
August 21, 2026May 8, 2026July 7, 2026August 6, 2026
August 22, 2026May 9, 2026July 8, 2026August 7, 2026
September 3, 2026May 21, 2026July 20, 2026August 19, 2026
September 4, 2026May 22, 2026July 21, 2026August 20, 2026
September 11, 2026May 29, 2026July 28, 2026August 27, 2026

No, med schools won’t automatically know that you received MCAT accommodations unless you choose to disclose that information in your AMCAS Personal Statement or Work & Activities Section.

In the past, if you took the MCAT with accommodations, there would be an asterisk next to your score report. This asterisk simply meant that your score was achieved in non-standard conditions. Those conditions may have included a power outage or a proctor falling asleep, not just accommodations.

However, in 2015, the AAMC stopped putting any asterisks next to MCAT scores — partly due to the asterisk being discontinued on LSAT score reports following a lawsuit. 

Yes, MCAT accommodations can be denied — often due to a lack of documented need for accommodation. But with enough time before your test date, you can appeal through AAMC’s online system.

Although the data is not publicly available, past data and anecdotal evidence suggest that about 1% of MCAT test takers receive special accommodations. If you have a genuine need for accommodation, all you should have to do is submit the application with plenty of time for AAMC to process your request.

The Americans with Disabilities Act (ADA) is what legally requires the AAMC to provide reasonable MCAT accommodations to individuals with certain health conditions and unique circumstances.

Get Individualized MCAT Prep Support

With or without accommodations, it is critical to create a structured study schedule for MCAT prep. MedSchoolCoach offers many free resources, and we also provide personalized MCAT coaching through our Physician Advisors.

Don’t leave your MCAT score up to chance. Schedule an appointment with us to see if we’re a good fit for your unique needs. 

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Picture of Ken Tao, PhD

Ken Tao, PhD

Ken is the Director of MCAT and Research at MedSchoolCoach. He is an alumnus of UC Berkeley and Harvard University, boasts degrees in Bioengineering, Molecular and Cell Biology, and a Ph.D. in Neuroscience. Ken previously worked with undergraduate students at Princeton Review where he was the only tutor certified in all subjects. Ken was one of the highest rated MCAT tutors ever and a teacher trainer. He founded Magoosh's MCAT division and has written content for dozen's of MCAT books and guides.

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