An applicant must contact the state board directly to obtain approval before beginning the application process.

Once approved by a state board, examinees register and schedule the COMVEX examination by downloading and completing a COMVEX Application Form.

Applications should be submitted with payment of $750 to the NBOME. Once received, the NBOME will contact examinees within 10 business days of receipt to schedule an exam appointment.


Prometric test center locations, test dates, and seat availability can be viewed after registering for the examination.

The examinee should schedule the exam at least 90 days before the desired test date to ensure test center location and seat availability. The examinee will receive a confirmation page via email with a confirmation number for the scheduled examination on the Prometric website and, if needed, for rescheduling the examination.

An examinee will not be permitted to schedule or reschedule a COMVEX examination within five days before a test date. For those needing to retake a test, a COMVEX examination will not be administered to the same examinee more than once within any 90-day period.


The NBOME provides support for COMVEX scheduling, registration, sample examinations, score reporting, and NBOME Account system assistance through the Client Services department. Please email NBOME Client Services, or call 1.866.479.6828 for over-the-phone assistance.

Reference Materials

Fundamental Osteopathic Medical Competency Domains

Practice & Preparation Resources

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