USMLE Step One Registration

Process Overview

Begin by reviewing the USMLE Bulletin

  1. Begin the application process online via the NBME Application website and fill out the online application information
  2. Select a 3-month eligibility window in which to schedule your Step 1
  3. Print the Certification of Identification and Authorization Form and review the instructions on the form
    • The School Of Medicine Registrar's Office can provide you with your 2" x 2" color roster photo
    • If you choose to use your own photo, it should be a good 2" x 2" passport-type photo. A color photo is preferred and printing the photo on regular paper is fine
  4. We will then verify, seal the form and return it directly to NBME Applicant Services

During the months of November and December, we will return forms to the NBME once a week via FedEx priority overnight. Once your application is complete, the NBME will send you an email notifying you that your scheduling permit is available. Your scheduling permit will allow you to sign up for a test location and time. Lastly, you will need to visit the Prometric website to schedule your test date.


It is strongly recommended that students keep a permanent (PDF) copy of the USMLE score reports from the NBME website once they become available. Your score report, once released to you, will be accessible from the NBME website for approximately 120 days. After this time, your scores will only be provided to you in the form of an official transcript ($70 fee) from the NBME.

Students can use the score report for important future verification purposes. The School Of Medicine Registrar's Office does not provide verification of USMLE scores. Additional information is available on the "Scores and Transcripts" section of the NBME website.

Most students independently start the Step 1 application process around November or December of their second year.  If you have any questions about your schedule, or the best time to take your Step 1 exam, please contact the School Of Medicine Registrar's office for assistance or talk with your Society Dean or Physician Advisor (CCLCM).

Unlike the SAT/ACT/MCAT/GRE, signing up for the USMLE Step 1 is not a registration so much as an application (involving both an online and a mail component) and cannot be completed in a day (or likely even a week).The NBME then takes time to review your application and verify your eligibility, so you must allow a few weeks for processing.

When you apply, all you need to select is a three-month eligibility window during which you want to take the exam.

Prometric, the company that runs the test sites, only schedules testing slots 6 months in advance. The earlier you schedule, the more likely you are to get your preferred test date and location. Anyone with a three-month window over six months away will need to put a reminder on their Google calendar to check back later.