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Registration & Scheduling

This content is for candidates who took the COMLEX-USA Level 1 before May 2019. Click here to view the current documentation.

Set up your NBOME account

Before you can register for and schedule an COMLEX-USA examination, you will need to set up your personal NBOME password-protected online account in the NBOME Client Registration System (CRS):

NOTE: Your personal data is treated by the NBOME as confidential. It will not be disclosed to any individual or entity without written, signed consent by you or an order of a court of competent jurisdiction.

NBOME Account

An NBOME Account is Required for Registration of Exams & Services.

Account access enables the necessary examination management and registration tools. Once an account is established, users are able to:

Requesting Attestation

Starting with test administrations in May 2019, attestation by a college of osteopathic medicine (COM) that a candidate is in good academic and professional standing and is eligible to continue as a student in the program is required for Level 1 elligibility.

Candidates will see a new tab on their NBOME “My Account” page which reads; “Register or Schedule Level 1 Exam,” which will enable the candidate to request attestation from their COM.

Changes to your Name and Status

In order to take a COMLEX-USA examination, the name on your registration form and on the valid government-issued photo ID presented at the testing center must match.

If your name has changed, download and complete a Name Change Request Form and include a copy of the supporting document noting the name change (e.g., marriage license, divorce decree, court document, naturalization document). Documentation can be scanned and emailed to clientservices@nbome.org. Name changes must be made no later than five (5) business days before the scheduled examination day. If possible, submit the name change form and documentation before registering for an examination.

Log in to your online account to update your mailing address, email address, and phone numbers, located in the in the “Student Information” section under the “My Account” tab.

If you transferred medical schools, you must contact the dean’s office at your old and new schools and request that they forward the information to clientservices@nbome.org.

Examination Fees



COMLEX-USA Cognitive Evaluations JULY 2018-JUNE 2019 JULY 2019-JUNE 2020
COMLEX-USA Level 1 $660 $660

Examination fee is determined by the examination date range.

Additional Fees

Computer-Based Examinations
Reschedule or Cancellation FeeMore than 30 days prior to exam date$0
Reschedule or Cancellation Fee30 to 5 days prior to exam date$85
Cancellation Fee5 days to 24 hours prior to exam date$190
Cancellation FeeLess than 24 hours prior to exam date $225

Examinations cannot be rescheduled later than 5 days before the scheduled date. Cancellations must be made online through the candidate’s NBOME account.

Non-Examination Related
Score Confirmation Fee$50
Non-sufficent Funds Checking Fee$20
Transcript Fee$60
Score Report Fee$5

Reference Materials


In this section:

COMLEX-USA · Level 1