For PA candidates with ADHD or psychiatric conditions, the NCCPA offers a process to request testing accommodations on the PANCE — supported by current professional documentation.
Accommodations for the PANCE are reviewed and granted by the National Commission on Certification of Physician Assistants (NCCPA) — not by any evaluator. Our role is to give you documentation strong enough to support your request; the decision always rests with the agency.
The NCCPA reviews PANCE accommodation requests and generally expects documentation from a qualified professional establishing the diagnosis and the specific functional limitations that justify each requested accommodation. In practice, that means a current evaluation that names the diagnosis under DSM-5-TR criteria, describes a history of symptoms and impairment, and connects that impairment to the specific accommodations you’re requesting (for example, extended time).
Your evaluation is conducted personally by a licensed psychiatrist and pairs a thorough clinical interview with objective, FDA-cleared computerized testing and validated rating scales where indicated. You receive a written report mapping your diagnosis to its functional impact under timed conditions, plus completion of the agency’s required forms and letters — included in full.
The agency ties accommodation deadlines to specific test dates, and builds in time for its own review. Start several weeks ahead of your filing deadline; most reports and forms are completed within days of your evaluation.
Tell us your exam, your timeline, and a little about your situation — we’ll confirm whether this is the right path before you commit.
Check your eligibilityImportant: This page is informational and does not constitute medical advice or establish a provider–patient relationship. Completion of an evaluation does not guarantee approval of any accommodation; all decisions are made solely by the relevant testing agency or institution, and past approval outcomes do not guarantee future results. Evaluations are available only to residents of states where the provider is licensed (Louisiana and California). A Good Faith Estimate of expected charges is provided to all self-pay clients in accordance with the No Surprises Act.