High-Stakes Exam & Neuropsychological Testing for Accommodations

Support for MCAT, LSAT, GRE, BAR, and Other Professional Exams

If you’ve worked hard to reach your academic or professional goals but find standardized exams unusually challenging, a neuropsychological evaluation can help uncover why and supply the documentation required for accommodations.

Who This Is For

This type of assessment is ideal for individuals who are:

  • Preparing for exams such as the MCAT, LSAT, GRE, GMAT, BAR, or USMLE

  • Seeking documentation for extended time, stop-the-clock breaks, or other accommodations

  • Wondering whether attention, processing speed, or working memory challenges may be interfering with performance

  • High-performing but noticing a discrepancy between their ability and their test results

  • Require an updated psychological evaluation for accommodations

What to Expect

The evaluation includes a comprehensive assessment of:

  • Attention and Executive Functioning

  • Processing Speed and Working Memory

  • Academic Skills (reading, writing, math, as relevant)

  • Learning and Memory

  • Emotional and Psychological Functioning

You’ll receive a detailed written report that meets documentation standards for organizations such as the AAMC (MCAT), LSAC (LSAT), and ETS (GRE), along with clear recommendations and next steps.

Common Accommodations Supported by Testing

Depending on the nature of your difficulties, your evaluation may support requests for:

  • Extended testing time

  • Stop-the-clock or additional breaks

  • A reduced-distraction environment

  • Computer-based testing with assistive technology

  • Other individualized supports based on documented needs

The Process

  1. Initial Consultation – We’ll clarify your goals, history, and the specific exam requirements.

  2. Testing Session(s) – In-person testing tailored to your needs and the documentation standards of your exam board.

  3. Comprehensive Report – A detailed, evidence-based document prepared to meet the guidelines of the relevant testing authority.

  4. Feedback Session – A collaborative review of findings and recommendations, ensuring you understand both your results and next steps.

Timeline & Fees

Because each testing organization has strict timelines, I recommend scheduling at least 8–10 weeks before your exam’s accommodation deadline.

High-Stakes Exam Evaluation: $3,000–$4,500 (depending on complexity)

Includes all testing, scoring, interpretation, report preparation, and feedback session.

 FAQs

  • A neuropsychological ADHD evaluation is far more comprehensive than a typical screening or checklist-based assessment.
    While a standard ADHD evaluation might focus mainly on symptom questionnaires and interviews, a neuropsychological evaluation uses objective, performance-based measures to examine how your brain functions across multiple domains—such as attention, executive functioning, processing speed, memory, and learning.

    This level of testing provides the quantitative data and clinical interpretation that testing organizations require when determining accommodations for high-stakes exams. It not only clarifies whether ADHD or another condition is contributing to your challenges but also documents how those difficulties specifically affect test performance.

    In other words, a neuropsychological evaluation doesn’t just answer “Do I have ADHD?” It answers “How does my brain process information, focus, and perform under time pressure, and what supports will help me demonstrate my abilities most accurately?”

  • It depends. Most testing boards require a recent evaluation (usually within the last three years) that includes performance-based testing and standardized measures of attention, processing speed, and academic skills. Many shorter ADHD evaluations or online assessments do not meet these standards.

  • You’ll receive a comprehensive neuropsychological report that meets the documentation guidelines for your specific exam board (e.g., AAMC, LSAC, or ETS). This report includes test scores, interpretation, diagnostic conclusions (if applicable), and a clear rationale for any recommended accommodations.

  • No. All high-stakes exam testing is conducted in person at my Richmond, Virginia office. Most testing organizations require standardized administration procedures that can only be completed in person.

  • Bring any previous testing records, academic transcripts, or documentation of prior accommodations (if applicable). You may also be asked to complete background questionnaires before your appointment to help tailor the evaluation to your needs.