NBOME mail

Registration & Scheduling

Please note that the COMLEX-USA Level 2-PE has been suspended.

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

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 will be required for Level 2-PE eligibility.

Candidates will see a tab on their NBOME “My Account” page which reads; “Register or Schedule Level 2-PE 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 Level 2-PE Examination Fees
COMLEX-USA JULY 2019-JUNE 2021 JULY 2021-JUNE 2022*
Level 2-PE $1,295 $1,300

*Fee increases for July 2021-June 2022 testing cycle are postponed through December 31, 2021.

The examination fee is determined by the examination date.

Reschedule or Cancellation Fees
Reschedule or Cancellation FeeMore than 90 days before the scheduled date$0
Reschedule or Cancellation Fee15 to 90 days before the scheduled date$50
Reschedule or Cancellation Fee48 hours to 14 days before the scheduled date$400
Reschedule or Cancellation Fee24 to 48 hours before the scheduled date*$750
Reschedule or Cancellation FeeWithin 24 hours of the scheduled date**$1295
*Reschedule or cancel by phoning the NCCST at 866-479-6828
** Candidate is a “No Show” (See Request for Waiver)

Request for Waiver
If the candidate reschedules or cancels or is considered a “No Show” because of circumstances beyond their control, and submits a request to the NBOME in writing no later than 30 days following the scheduled/missed administration, the NBOME in its sole discretion may waive and/or refund all or a portion of the rescheduling/cancellation fee.
Other Fees
Score Confirmation Fee (available by request on NBOME Account)$50
Non-sufficient Funds Checking Fee$20
Transcript Fee (per request)$60
Retaking COMLEX-USA Level 2-PE

Candidates can reschedule an examination on receipt of the initial score report. You can register for and schedule the retake examination through the NBOME portal. You should see several opportunities for rescheduling, including specific seats reserved for students retaking the examination. Candidates should call the NBOME National Center for Clinical Skills Testing at 866.479.6828 for assistance with scheduling if they do not see an acceptable date within 6–8 weeks from the receipt of the initial report or if they have specific questions.

When rescheduling, candidates should allow adequate time to retake the examination before their school’s graduation deadline, and keep in mind the time required for remediation and rescheduling. When rescheduling an examination, candidates are advised to also check the Score Release Information (typically within 8–10 weeks) and remember that passing COMLEX-USA Levels 1, 2-CE and 2-PE is a requirement for medical school graduation.

Candidates may only take the COMLEX-USA Level 2-PE a total of 6 times, and may only take it 3 times in a 12 month period. Candidates should check the policies of their college of osteopathic medicine for its retake guidelines, which may differ from those of the NBOME.

Effective July 1, 2022, candidates taking COMLEX-USA examinations will be limited to a total of four (4) attempts for each examination (COMLEX-USA Level 1, Level 2-CE, Level 2-PE and Level 3), including but not limited to all attempts prior to July 1, 2022. After June 30, 2022, no candidate will be allowed to take any examination more than four (4) times without obtaining approval from the NBOME.

Reference Materials

Fundamental Osteopathic Medical Competency Domains



Client Registration System Tutorial


Candidate Assistance Program: Rescheduling Fee Waivers


Locations & Travel

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