TEAS test accommodations: who approves them, extra time, and the 30-day rule

Who approves your request depends on the exam format

ATI offers the TEAS in three formats, and each has its own accommodation route. For TEAS at ATI, the remote exam proctored by ATI, you email ATI Test Security. For TEAS at PSI, at a PSI test center or remotely through PSI, you use PSI's online accommodation request form. For TEAS at an institution, in person or remote but proctored by your school, you contact that school or its testing center.

The usual mistake is sending the request to the wrong party. ATI's help center says each institution sets its own accommodation policy and ATI cannot approve requests for school-proctored exams, and PSI handles approvals for its own exams. If you are not sure which format you booked or plan to book, settle that first, because it decides where every document goes.

How much extra time you get, and what else needs approval

As of November 2026, ATI's help center says candidates approved for extra time on TEAS at ATI receive 1.5 times the standard time. If you need more than that, your letter or IEP must state exactly how much time and why. Applied to the 209 minutes ATI lists for TEAS 7, 1.5 times is roughly 313 minutes in total. ATI does not spell out how the time is split by section, so ask Test Security if per-section pacing matters to you.

Extra time is not the only thing that needs approval. ATI's exam-day rules say headphones and earplugs are not allowed unless you have an approved accommodation, and remote TEAS at ATI allows no food or drink of any kind, including water. If you may need water, food or medication during a remote exam for a medical reason, raise it in your request instead of assuming an exception. The standard 10-minute break after math is the only time you may leave the camera's view.

What the documentation letter must include

For TEAS at ATI, the letter must come from an objective, qualified professional, such as a physician or healthcare professional qualified to diagnose the condition, and not from you or a relative. It must be dated within 2 years of your planned exam date, give the specific diagnosis (with the DSM code for a mental or emotional condition), explain how the condition limits your exam performance, and name the accommodations you need.

For a temporary condition such as an injury, add the diagnosis date, the expected duration and how it was diagnosed. A current, active IEP can stand in for the letter if you are a high school student or within 2 years of graduation. For TEAS at PSI, PSI asks for documentation on official letterhead describing the disability and its testing limits, the recommended accommodation, the provider's name, title and phone number, and an original signature.

Timeline: work backward from your test date

ATI says to email Test Security at least 30 days before you plan to test and warns that some requests take longer. An accommodation cannot be added on exam day, and ATI's exam-day page says to request it before you register. Worked example: if you want to sit TEAS at ATI on February 15, the request should leave your inbox by January 16 at the latest, and earlier if your nursing program has a score deadline.

PSI moves on a different clock. Its process asks you to request accommodations before scheduling, says PSI typically responds within 48 hours, and holds the booking until approval is confirmed. For school-proctored exams the deadline is whatever the school sets, so ask the testing center for it in your first email rather than assuming ATI's 30 days applies.

Sources

ATI Help Center: TEAS Testing Accommodations by Exam Format. Who approves requests for TEAS at ATI, PSI and institutions; 30-day minimum; 1.5x extra time; ATI cannot approve school-proctored requests.

ATI Help Center: accommodation requirements for TEAS online proctored by ATI. Letter requirements, 2-year dating, IEP rule, temporary conditions, individual review, accommodations available in every format.

ATI Help Center: Request an Accommodation for a TEAS at PSI Exam. PSI request form, request before scheduling, documentation contents, typical 48-hour response.

ATI Help Center: TEAS Exam Day Details and Requirements. Headphones and earplugs only with approved accommodation, no food or water on remote exams, 10-minute break after math, request before registering.

ATI: TEAS Exam Details. TEAS 7 total testing time of 209 minutes (checked November 2026).