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Guidelines for Requesting Special Testing Accommodations During Administration of The NCLEX Examination

Pursuant to 655 IAC 3.4[5], individuals with disabilities as defined in the Americans with Disabilities Act may apply for modifications in the examination or examination administration.

In order to process your request the following documentation must be submitted to the Iowa Board of Nursing:

A letter from you identifying the nature of your disability and the specific testing accommodation/s you are requesting. Please identify your disability by diagnosis and code number, when appropriate, in accordance with the Americans with Disabilities Act. If unsure, confer with your physician/psychologist and, when appropriate, the individual/s who coordinated your testing accommodations while enrolled in the nursing education program. If requesting additional testing time, specify the amount of time needed. The accommodation/s you are requesting must be directly related to your diagnosis and confirmed by the appropriate professionals.

Form A This item should be forwarded to your physician, psychologist or other professional with expertise in the area of your diagnosed disability. The diagnostic test scores, history of your disability and recommended accommodations identified in this document should be consistent with your request. This item may be returned to our office by the professional or by you.

Form B This item should be forwarded to your nursing education program if testing accommodations were provided to you. This item may be returned to our office by the program or by you. If accommodations were not provided, please indicate this on the form and return to our office.

If you submit your application for licensure separately from the required documentation for testing accommodations, please indicate that you are requesting accommodations due to a disability on your licensure application form in order that your request may be processed as quickly as possible. The board may destroy documents after 12 months. Copies should be retained by the applicant.

Upon receipt of the required materials we will correspond further. Please allow adequate time for evaluation of your request by the Iowa Board of Nursing and the National Council of State Boards of Nursing, Inc.

Questions may be directed to staff at 515-281-3255 or by email at