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CPTE testing accommodations: who qualifies, what to submit, and when

If a disability, health condition or injury affects how you can sit a five-hour virtual exam, CAPR can adjust how the CPTE is delivered — but only if you ask in time and with the right documentation. The deadline is the part most people get wrong.

Updated September 2026 from CAPR's Testing Accommodations Policy and process pages. Confirm the current requirements on alliancept.org before you apply.

The four things to know

Same deadline as the exam application

Your request and every supporting document must be in CAPR's Client Portal by the application deadline of the sitting you're applying to. That is roughly ten weeks before exam day. Late requests are not reviewed. Because a clinical assessment can itself take weeks to arrange, start before you apply for the sitting.

Documentation from a regulated healthcare provider

CAPR wants a complete request form plus documentation based on a comprehensive assessment by a regulated provider with the legislative authority to diagnose the condition, and it must contain specific recommendations for accommodations, not just a diagnosis. For learning, attention or psychological conditions that means a full psychoeducational, neuropsychological or psychological assessment report.

Reviewed case by case; the standard doesn't change

CAPR reviews each request against the evidence and may grant, modify or decline it, or ask for more information — which you must supply by the same deadline. What is never on offer is a lower pass mark or different content. Accommodations change how you sit the exam, not what it asks.

Urgent requests after the deadline

Only for a recent injury or illness that occurs after the deadline, and only if received at least 15 business days before the exam. Anything long-standing must go through the normal route.

Thinking about the exam's format

The CPTE is five hours: 2.5 hours of speaking to examiners, an off-the-clock break of about an hour, then 2.5 hours of multiple-choice — with no breaks inside either section. When you and your assessor discuss what to request, the questions worth answering are: can you sustain 15-minute spoken cases back to back for 2.5 hours; can you read and answer 100 questions in 2.5 hours at 90 seconds each; and does your condition affect speech, screen reading, or sustained attention in a way the standard delivery doesn't accommodate. The recommendation should speak to the functional demand, because that is what CAPR evaluates.

Practising under your accommodation

If you're granted extra time or additional breaks, your mocks should use them. Sitting practice exams under the conditions you'll actually have is the only way to learn your pacing for them.

See the CPTE program Dates and deadlines

Common questions

What accommodations can CAPR provide?

CAPR considers each request individually against the documented functional need — commonly extra time, additional breaks, or adjustments to how the exam is delivered. CAPR does not lower the passing standard or change the exam content.

When is the deadline?

The same as the exam application deadline for the sitting you're applying to — about ten weeks before the exam. Late requests are not reviewed. Only recent injury or illness after the deadline can be considered as an urgent request, and only if received at least 15 business days before the exam.

What documentation do I need?

A completed Testing Accommodations Request form and supporting documentation from a regulated healthcare provider with the authority to diagnose the condition, based on a comprehensive assessment, with specific recommendations for accommodations — for example a psychoeducational, neuropsychological or psychological assessment report where relevant.

Is my request confidential?

Yes. CAPR manages requests under its privacy policy, which follows PIPEDA and Ontario's PHIPA. Examiners are not told why an accommodation was granted.

What if CAPR asks for more information?

You must supply it as soon as possible and no later than the exam application deadline. CAPR may modify or decline a request if the evidence doesn't support it.