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Alternative Accommodations

When appropriate, CAPR may be able to make alternative accessible arrangements available to candidates who have documented needs. Alternative accommodations are intended to alter the environment, where possible, to allow candidates to demonstrate their competence. It is not possible for CAPR to alter the content of the Physiotherapy Competency Exam (PCE) in any way.

Applying for Alternative Accommodations

If you wish to apply for alternative accommodations, submit an Alternative Accommodations Request Form to CAPR when you register for your exam. You must submit the appropriate supporting documentation with your accommodation request. This should include the details about any medication you wish to take into the exam with you. Please review the information provided below for details about supporting documentation requirements.

Please note that CAPR considers requests for alternative accommodations on a case-by-case basis and alternative accommodations granted by your university may not be the same as those granted by CAPR for the PCE.

Alternative Accommodations and Site Assignments

CAPR attempts to assign exam site locations based on a candidate’s preference; however, not all sites can meet accommodation requests or the number of requests for a given exam. It may not be possible for CAPR to grant exam candidates their preferred location and to meet the requirements of the accommodation.

Review and Processing Timelines

Requests for accommodation(s) must be submitted 30 business days before the Written Component and 65 business days before the Clinical Component along with all the required forms and documentation. CAPR may accept accommodation requests up to 5 business days before the examination date in exceptional circumstances, such as in the event of an accident. CAPR will respond to all requests for alternative accommodations in writing.


Instructions for Requesting Alternative Accommodations

Note: You must submit a new Alternative Accommodations Request Form for each exam for which you register.

  • Complete all sections of the Alternative Accommodations Request Form.
  • Secure all required supporting documentation.
  • Submit your completed Alternative Accommodations Request Form and your supporting documentation to CAPR when you register for your exam.

General Principles of Supporting Documentation Requirements

  1. Documentation must include a report or letter from a regulated health professional who has the legislative authority to administer the tests or evaluations appropriate to your accommodations request.
  2. Documentation must be typed or printed on the regulated health professional’s letterhead, and include their name, title, and professional credentials. It must be dated, signed and legible.
  3. Documentation must be recent enough to reflect your current impairment. Documentation that is not current (see below for guidelines for your impairment/condition) will not be accepted by CAPR.
  4. The objective evidence should include a list of all the tests that were used to establish the diagnosis and to support the accommodation requests. Evaluation measures selected for the assessment battery should be reliable, valid and age-appropriate.
  5. In most cases, documentation should include developmental, educational and medical histories.
  6. The documentation must contain a clear statement of the impairment(s) or condition(s) and a description of functional limitations.
  7. The documentation must summarize key points, rule out alternative explanations and explain how the findings support any “substantial limitation” to participation in the written or clinical component of the PCE.
  8. Each accommodation recommended in your supporting documentation must be related to the analysis of one or more objective test results.
  9. Support for extended testing time must be specifically addressed by the appropriate health care professional.

Examples of Required Documentation

Please review the information below about the documentation required for each condition/impairment. Failure to submit appropriate documentation, as outlined below, may result in your request for accommodations being denied.

For Learning Impairments/Attention Deficit Hyperactivity Disorder (e.g., ADHD/ADD):

  • Description of impairment(s) and functional limitation(s) related to the diagnosis as per the DSM 5.
  • Report from a registered psychologist, psychiatrist or other health professional qualified to make the diagnosis.
  • A complete psycho-educational or neuropsychological assessment made within 5 years of the date of the exam.
  • Reports must describe tests performed after the candidate has reached 18 years of age.
    A documentation update is acceptable when an original assessment is more than 5 years old. In this case, the evaluation might include only those tests and scales that illustrate the candidate’s present level of functional limitation. According to the data published on, there are not enough clinical studies on the use of Soma in elderly patients (aged 65 and over). Soma is not recommended for elderly patients, as well as those suffering from mild, moderate or severe liver failure (see the section “Contraindications”). A document that simply reaffirms the diagnosis is NOT considered appropriate supporting documentation.

For Psychiatric Disorders (e.g., Anxiety Disorder):

  • Description of impairment(s) and functional limitation(s) related to the diagnosis as per the DSM-5.
  • Documentation must include a report from a regulated health professional who has the legislative authority to evaluate and diagnose psychiatric conditions.
  • Evaluation must be made within the last 12 months and describe the implications for the candidate undertaking the PCE and any recommendation for accommodation(s).

For Brain Injury (e.g., concussion):

  • Report from an appropriate health care provider.
  • Report must describe current impairment(s) and functional limitation(s) for conditions that might change over time or where the candidate’s ability to compensate for a static condition might change over time.
  • Evaluation must be made within the last 3 months from the date of accommodation request. CAPR can ask for an updated evaluation closer to the exam date.

For Autism Spectrum Disorder:

  • Report from a health care provider competent in assessing Autism Spectrum Disorders.

For physical or sensory impairments, pregnancy, other medical conditions:

  • Report from an appropriate health care provider.

For dietary restrictions, access to medications and allergies:

  • Report from an appropriate health care provider.