Testing accommodations for the NBCOT, NPTE, and SLP exams
NBCOT, FSBPT, and ETS each offer testing accommodations under the Americans with Disabilities Act, and each has its own request process. For the NPTE, the process depends on the jurisdiction where you seek licensure. For the national SLP exam and the C-SLPA exam, ASHA says PSI will approve accommodation requests beginning in January 2027.
Quoted from official pages checked November 10, 2026. Confirm current requirements, fees, and dates on those sites. This page is not legal advice and does not guarantee eligibility, certification, or licensure.
NBCOT (OTR and COTA)
NBCOT’s Testing Accommodations page, checked November 10, 2026, states: “In compliance with the Americans with Disabilities Act (ADA), NBCOT provides reasonable and appropriate testing accommodations (TA) for exam applicants with documented disabilities, as defined by the ADA, who are eligible to take the OTR® or COTA® exam.” It tells applicants to read the online TA handbook and to “Review the list of preapproved personal items”. It also states: “We recommend gathering all required documents before you apply for the exam. Incomplete documentation will delay your exam application.”
NBCOT’s Certification Exam Handbook states: “A diagnosed disability does not automatically necessitate testing accommodations.”
FSBPT (NPTE)
FSBPT’s Testing Accommodations page states: “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.” It also states: “Testing accommodations are individualized and considered on a case-by-case basis.” And: “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.”
On who reviews a request, it states: “The process for requesting testing accommodations depends on the jurisdiction where you are seeking licensure.” The page lists the states for which FSBPT reviews requests; candidates registering through other jurisdictions are told to request accommodations from that jurisdiction. Check the list on FSBPT’s page. FSBPT’s NPTE Candidate Handbook states: “To request testing accommodations, make sure to indicate that you have a disability covered by the ADA when you register for the NPTE.”
Speech-language pathology
For the Praxis, ETS’s disability accommodations page states: “ETS is committed to providing reasonable testing accommodations for candidates with documented disabilities or health-related needs, as recognized under the Americans with Disabilities Act Amendments Act (ADAAA).” It also states: “Submit your request as early as possible.”
ASHA’s Assistants Certification Exam page states: “Beginning in January 2027, PSI will approve all accommodation requests. When you schedule your exam, you can submit necessary documentation for review and approval.” It also states that applicants “will be required to provide documentation from a qualified professional who has made an individualized assessment that supports the need for the requested testing accommodation.”
What this page does not do
It does not say who qualifies, what documentation will be accepted, or how long a review takes. Each organization decides. It lists no fees.