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Serving the public interest by advancing client care and professional practice through evidence-based certification standards and the validation of knowledge essential for effective practice in occupational therapy.


Certified occupational therapy professionals providing effective evidence-based services across all areas of practice worldwide.

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The National Board for Certification in Occupational Therapy, Inc. (NBCOT®)

12 South Summit Avenue
Suite 100
Gaithersburg, MD 20877
(301) 990-7979
Fax (301) 869-8492

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Special Testing Accommodations

In adherence with the Americans with Disabilities Act (ADA, 1990, updated, 2010), NBCOT provides reasonable and appropriate Special Testing Accommodations (STA) for exam candidates with disabilities who are otherwise eligible to take the OTR® or COTA® certification examination in the United States.

An individual with a disability is defined by the ADA as a person who has a physical or mental impairment that substantially limits one or more major life activities (e.g., caring for one’s self, performing manual tasks, seeing, breathing, learning, and walking); a person who has a history or record of such an impairment; or a person who is perceived by others as having such an impairment.

In order to request STA for the OTR® and COTA® examinations, exam candidates MUST have a documented disability as defined by the ADA. English as a second language, computer anxiety, and test anxiety are not covered disabilities under the ADA. Pregnancy is also not a disability covered under the ADA; however, if the applicant is experiencing a resulting medical complication, STA may be considered. Exam candidates with a transitory or temporary condition (i.e., sprains, fractures, or medical emergencies) who would like to request STA should contact NBCOT as soon as possible before the exam is scheduled to take place. 

STA requests are reviewed based on the candidate's specific request, the nature of the disability, and supporting documentation. Reasonable STA do not alter the fundamental purpose or nature of the examination. STA requests that are submitted without an exam application or that are incomplete will not be reviewed.

To request special testing accommodations, follow the steps outlined in this brief guide:

Download the STA Handbook (PDF)