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.
Types of High-Stakes Exams I Work With
I provide evaluations for a range of high-stakes exams, with each evaluation tailored to the specific documentation requirements of the testing organization.
LSAT Accommodations Evaluation
Comprehensive evaluations aligned with Law School Admission Council documentation standards.
Evaluations designed to meet requirements from state bar examiners and the National Conference of Bar Examiners.
Bar Exam Accommodations Evaluation
MPRE Accommodations Evaluation
Evaluations designed to meet documentation requirements for MPRE accommodations, including well-supported recommendations aligned with NCBE guidelines
USMLE Accommodations Evaluation
Evaluations structured to meet NBME documentation standards, with objective testing relevant to high-stakes medical licensing exams.
MCAT Accommodations Evaluation
Focused on endurance, processing speed, and performance across extended testing periods through the Association of American Medical Colleges.
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
Initial Consultation – We’ll clarify your goals, history, and the specific exam requirements.
Testing Session(s) – In-person testing tailored to your needs and the documentation standards of your exam board.
Comprehensive Report – A detailed, evidence-based document prepared to meet the guidelines of the relevant testing authority.
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: $3,500
Includes all testing, scoring, interpretation, report preparation, and feedback session.
FAQs
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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?”
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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.
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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.
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I offer telehealth testing when clinically appropriate and when environmental and technology conditions can be controlled to approximate standard administration. Some major test publishers provide telepractice guidance for certain measures, and there is research showing that carefully supervised remote testing can produce comparable results to in-person administration. However, remote assessment involves additional factors (e.g., internet stability, room control, digital materials) that must be documented, and not all cases are well-suited to telehealth. I’ll discuss appropriateness during our initial consultation based on your goals and testing board requirements.
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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.