TEAS test accommodations: what you can get and how to request them

ATI offers accommodations on every TEAS, including extra time at 1.5 times the normal limits and text-to-speech, for test takers with a documented disability. Where you send the request depends on where you test: ATI for an at-home TEAS, PSI for a PSI test center, and the school's disability office for a campus sitting. Ask at least 30 days before you pick a test date, with a dated letter from a qualified professional.

This guide covers what each route asks for, the papers that get approved, how long approval takes, how extra time changes your test day, and what to do if approval runs late against your application deadline. Rules differ by testing site, so treat the school examples here as examples and confirm with yours.

TEAS accommodations at a glance

Where you test	Where to request	Lead time
At home, proctored by ATI	Email ATI Test Security (proctor@atitesting.com) with your supporting letter	At least 30 days before you sign up for a date
PSI test center	PSI's exam accommodation request form, linked from the TEAS at PSI listing in ATI's store	Allow 30 days or more
A college's own testing center	That college's disability or accessibility office first, then its testing center	Set by the college: from 2 weeks to 4–6 weeks

Sources: Howard Community College's ATI TEAS page (ATI and PSI routes), ATI's help center, and the colleges named below.

What accommodations are available for the TEAS?

ATI says accommodations are available for all of its ATI TEAS exams, and that the way you request them varies by test location (ATI: TEAS testing accommodations). The ones schools name most often:

Extended time. The standard is 1.5 times the normal time for each section. More than that is possible only if your letter or IEP states how much time you need and why that amount is needed (ATI, and Sac State's testing center form).
Text-to-speech. Howard Community College lists extra time and text-to-speech as the accommodations ATI TEAS provides (Howard CC ATI TEAS).
Paper and pencil. Howard CC offers a paper exam on request with at least two weeks' notice, because paper exams have to be ordered.
Items normally banned. Headphones are not allowed on the TEAS unless they are an approved accommodation (ATI exam day requirements). The same goes for anything else outside the standard list.
Room and breaks. A separate or low-distraction room, or extra breaks, are decided by the site that hosts the test. We found no ATI page that lists them, so ask the testing site directly.

What extended time means in minutes, at 1.5 times ATI's section limits:

Section	Standard	At 1.5x
Reading	55 min	82.5 min
Mathematics	57 min	85.5 min
Science	60 min	90 min
English and language usage	37 min	55.5 min
Total testing time	209 min	313.5 min (about 5 h 14 min)

Standard minutes are ATI's; the 1.5x column is our arithmetic. Add check-in and the optional 10-minute break after math, and a 1.5x TEAS takes most of a day.

Who can get TEAS accommodations?

Accommodations are for test takers with a documented disability or condition that affects how they take a timed computer test: learning disabilities such as dyslexia, ADHD, vision or hearing loss, anxiety disorders and other mental health conditions, and physical conditions. The decision is made case by case, and a request does not guarantee approval. The test site keeps the right to make the final call on whether an accommodation is warranted (Sac State's form says this in so many words).

Two points people often miss:

Anxiety needs documentation too. The request needs a professional's letter naming a condition and how it affects testing. Ordinary nerves before a big test are handled with practice under timed conditions.
Each route decides on its own. An approval from your college's disability office doesn't carry over to ATI or PSI by itself; send each the papers it asks for.

Where to request TEAS accommodations

Decide where you'll test first, because each route has its own inbox. Most programs say which ways of testing they accept (at home, PSI, their own campus); our TEAS test registration guide walks through those choices.

At home (remote, proctored by ATI)

Email your request to ATI Test Security at proctor@atitesting.com and attach your supporting letter. Do it at least 30 days before testing, or before you sign up for a date, and allow a minimum of 30 days for processing (Howard CC, quoting ATI). Remote testing also has its own room and computer rules; see proctored TEAS at home or in person.

At a PSI test center

Fill in PSI's exam accommodation request form and upload documentation from the medical authority or school. At Bergen Community College, the path runs through ATI's online store: select "TEAS @ PSI", choose the nursing program, click "Learn More", then the "ADA Accommodation Link" to submit the documentation or accommodation letter (Bergen CC). ATI keeps a help page on the PSI route (ATI: accommodation for a TEAS at PSI).

At a college's testing center

Go to that college's disability services office first. Mercer County Community College, for example, requires its own academic accommodations process (a request form, an intake appointment and primary documentation) before its testing center sets up a TEAS (Mercer County CC). Howard CC asks you to register with its Disability Support Services, register for on-campus testing through ATI, then email the test center with your name and date. Some colleges want a new request form for each sitting you book.

What documentation do you need?

A letter on letterhead from a qualified professional is the core of every request. The rules Sac State's testing center sets out are typical (Sac State ATI TEAS form):

Objective: from a professional who is not you and not related to you.
Recent: dated within 2 years of your test date. Howard CC uses the same two-year rule for ATI remote requests.
Specific: names the condition and says how it affects testing; mental or emotional conditions need a diagnostic code.
Exact: says what accommodation is needed. For more than 1.5x time, it must say how much and why.
An IEP can stand in for the letter if it is active, for high school students or those within 2 years of graduating.

What a usable letter covers, in order:

Your full legal name, the same as on your ATI account and photo ID.
The professional's name, credentials, license number and contact details.
The diagnosis and when it was made.
How it limits you on a timed, computer-based test (reading speed, processing, attention, sight).
The accommodations recommended, each tied to that limit.
The date and signature.

A 504 plan or college accommodation letter from your current school often helps, and a campus test center may accept it directly. ATI and PSI decide on their own, so send the professional's letter too.

How long does approval take?

Plan for 30 days at the least, and longer if anything is missing:

ATI remote: submit 30+ days ahead; allow a minimum of 30 days (Howard CC).
Sac State: up to 30 days for processing, about four to six weeks from a complete application, and another two to four weeks if more documentation is requested.
Paper and pencil at Howard CC: two weeks to order.

Work backwards from your application deadline. Scores often post within about 48 hours of a computer TEAS (TEAS test results), but leave room for a retake: many programs require 30 days or more between attempts (how many times you can retake the TEAS). A safe timeline:

Weeks before the application deadline	What to do
14–12	Get the professional's letter; pick where you'll test
12–11	Send the request (ATI, PSI or the college office)
8–6	Approval arrives; book a date with the accommodation attached
6–4	Take the TEAS
4–0	Room for one retake if you miss the minimum

The weeks are our planning guide, built from the lead times above, not any one school's rule.

Requesting TEAS accommodations, step by step

Check your program's rules. Which ways of testing it accepts, the deadline for scores, the attempt limit.
Choose your testing route. At home, PSI or a campus. Campus centers often know their disability office well and can be the simplest path.
Create your ATI account with your legal name, but don't buy a date yet if the route needs approval first.
Get the letter that meets the points above. Ask the professional to name the TEAS and each accommodation.
Send the request to the right place for your route, with your name, ATI account email, and the date range you hope to test in.
Keep a record: the date you sent it, who you sent it to, and a copy of every file.
Follow up after two weeks if you've heard nothing.
Book only once approved, and confirm the booking shows the accommodation before test day.

Scheduling a TEAS with extended time

Extra time changes which slots you can book. Sac State requires anyone with extended time to book its 8:30 AM session. UCF's testing center asks accommodated test takers to book Monday to Friday before noon. A 1.5x TEAS runs more than five hours of testing, so sites need a morning start to finish in the day. Book early: these slots are fewer, and they fill before application deadlines.

On test day with accommodations

Bring the same current, government-issued photo ID as anyone else, with the name on your ATI account.
Bring your approval email or letter, printed, in case the proctor's record is missing it.
Before you start, check the timer: at 1.5x, reading should show 82.5 minutes, not 55. If it's wrong, tell the proctor before you begin, not after.
Eat before you arrive. Food isn't allowed during the test, and five hours is long.
The rest of the day works like any TEAS: one optional 10-minute break after math, no going back to a closed section. Our TEAS exam day tips cover check-in and pacing.

If your request is denied or runs late

Denied: ask what was missing. Most denials are about documentation (too old, not specific, no link between the condition and the accommodation). A new letter that fixes it can be sent again.
Running late against a deadline: email the program's admissions office early, with the date you sent your request, and ask whether it can accept a score after the deadline or count you for the next intake.
Testing without it: you can, but a score without your accommodation still counts as an attempt. With an attempt limit of two or three a year, that's a real cost.

Practising with your accommodation

Practise on the clock you'll actually get. At 1.5x, you have about 110 seconds a reading question instead of 73, and 135 a math question instead of 90 (our arithmetic from ATI's minutes and question counts). Pacing still matters: extra time is easy to spend on the first passages and run short at the end.

Time each section at your approved length, with a check at the halfway mark.
If you have text-to-speech, practise listening to a passage once, then reading the question.
Sit at least one full run in one go, to build the stamina for a five-hour day.

To see which section needs the most work first, take our free 15-question TEAS practice test: it scores each answer against your program's minimum. Then build a schedule with the four-week TEAS study plan.

Mistakes that cost people their accommodation

Buying a test date first, then asking for accommodations a week before.
Sending the request to ATI for a campus sitting, or to the campus for a remote one.
A letter older than two years, or one that doesn't say what accommodation is needed.
A different name on the letter, the ATI account and the ID.
Not checking the booked time on screen before starting.

TEAS accommodations FAQ

How much extra time do you get on the TEAS?

The standard is 1.5 times the normal time for each section. More requires documentation stating how much time is needed and why.

Does the school see that I had accommodations?

We found no source saying ATI marks score reports with accommodations. If this matters to you, ask the testing site or ATI directly.

Can I get accommodations on an at-home TEAS?

Yes. Email ATI Test Security with your supporting letter at least 30 days before you sign up for a date.

Do I need a new request for a retake?

Often yes. Some sites ask for a request form for each sitting, so check before you book the retake.

Can I use my IEP?

Sites like Sac State accept an active IEP for high school students or those within 2 years of graduating. Otherwise, send a recent letter from a qualified professional.

Sources

ATI, What are the TEAS exam testing accommodations available? (search summary, 2026-11-04; the page answers our fetch with 403).
ATI, How to request an accommodation for a TEAS at PSI exam.
ATI, TEAS exam day requirements. Read 2026-10-29.
Howard Community College, ATI TEAS. Read 2026-11-04.
California State University, Sacramento testing center, ATI TEAS exam accommodation form. Read 2026-11-04.
Bergen Community College, Requesting accommodations for a health professions admissions exam. Read 2026-11-04.
Mercer County Community College, TEAS exam accommodations. Read 2026-11-04.
University of Central Florida testing center, TEAS (search summary, 2026-11-04).

More on booking and test day: TEAS test registration, TEAS exam day tips, or all TEAS guides. When you know your clock, take the free practice test to see where to spend it.