NBOME mail

Registration & Scheduling

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 2022-DECEMBER 2022
COMLEX-USA Level 3 $890

Examination fee is determined by the examination date range.


Computer-Based Examinations
Reschedule or Cancellation FeeMore than 30 days before the scheduled date$0
Reschedule or Cancellation Fee6 to 30 days before the scheduled date$170
Cancellation Fee1 to 5 days before the scheduled date$350
No-Show FeeWithin 24 hours of the scheduled date$500

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

Non-Examination Related
Score Confirmation Fee$75
Insufficient Funds Checking Fee$20
Transcript Fee$65
Score Report Fee$5

Retaking An Examination

Candidates may not retake any level of COMLEX-USA to improve their scores or for any purpose other than to pass a previously failed examination. Candidates who have failed an examination may retake the examination a maximum of four times in any 12-month period.

Four-Attempt Limit

Effective July 1, 2022, candidates taking COMLEX-USA examinations are limited to a total of four (4) attempts for each examination (COMLEX-USA Level 1, Level 2-CE, and Level 3), including but not limited to all attempts prior to July 1, 2022. Please see the  Bulletin of Information for more information.

Candidates taking COMLEX-USA examinations are limited to a total of four attempts for each examination.

The only consideration for an exception to this policy, allowing for one additional attempt beyond the four-attempt limit, is at the explicit request of a medical licensing agency.

For the NBOME to waive the limitation of a maximum of four attempts for any COMLEX-USA examination, candidates are required to obtain a written petition for waiver from a medical licensing agency.

Reference Materials

Fundamental Osteopathic Medical Competency Domains


Client Registration System Tutorial


Candidate Assistance Program: Rescheduling Fee Waivers

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