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How to Register for USMLE Step 1

  1. Visit the exam log-in page. Click first-time user, enter your name, SSN and medical school information. It is important that you enter your name exactly how it appears on the identification that you will present the day you take the exam (i.e., driver’s license, passport).
  2. The NBME will email you your USMLE ID and a temporary password. This may take up to one business day. Please keep your USMLE ID number, as you will need it to register for future exams.
  3. Once you receive this information, you should log in to the menu item: Apply for the USMLE. You will be required to change your password at this time.
  4. You will then be successfully logged on to the NBME Interactive Website. To start a new application, click on "NEW."
  5. You will be asked to read the application instructions. Then hit "next." The examination you are applying for is: Step 1.
  6. Follow the instruction and complete the application. We recommend that you choose the testing window of March 1 to May 31, 2022
  7. You will need to pay the registration of $645 (via credit card).
  8. Please submit electronic copies of the Certification of ID and Authorization Form and a passport-sized photo via email to Registration and Records at You may also print the Certification of ID and Authorization Form and bring it to Registration and Records in AWOME. Please remember to attach a photo. If you bring your form as a hard copy, be sure to write your name on the back of the photo before adhering to the paperwork. We will retain a copy of your form and send it to the NBME office. Once accepted by the NBME, it is valid for five years unless you change your name.
  9. Once your form is received at the NBME, they will contact us to verify your enrollment before processing the form. This can take up to two weeks.
  10. After the NBME has completed the processing of the form, they will email you with your scheduling permit. This confirms the three-month window in which you can schedule your exam date.
  11. To schedule your examination test location and date, visit the Prometric website. This can be done no sooner than six months in advance.

Helpful Tips

  • If you are planning to take the exam in Chicago, note that there is only one testing center downtown (there are suburban locations) and registration fills quickly. If you start the registration process in October and register by the end of November, you will maximize your chances of getting your first-choice testing date within the March to May window. Testing centers add more dates as registration progresses, so be sure to check back for more openings if you do not get your first-choice testing date initially.
  • Attach a recent 2-inch-by-2-inch passport-type photo by taping (sides and top of photo) or gluing it to the form (no staples please). Photos must be full-faced and current. 
  • Please make sure you mark "I authorize the NBME to accept my NBME on-line services password" on the bottom half of the form to accept. If you do not accept, you must complete the application form each time you apply for an exam.
  • On exam day, you must present your scheduling permit and an unexpired, government-issued form of identification that includes both your photo and signature (for example, a driver’s license or passport) to the examination site, and your name must be an exact match with the name you registered.
  • If you require test accommodations, you must check that item on your application to indicate that you are submitting a request for accommodations. Please note that this is a lengthy process. Please see the website for further information.
  • Once your score has been reported to the NBME, please retain the original USMLE Score Report. We do not receive an official score report and you will need this for your residency application. If you do not save your score report, you will need to order a new one and will be assessed a fee by the NBME (currently $75).