USMLE Step 1 Registration

Registering for Step 1 is a multi-step process that will take about two to four weeks. After the initial registration on the NBME website, the Office of Student and Academic Affairs (OSAA) verifies each student’s enrollment and good standing.

Once this is complete, you will receive an email regarding how to schedule your exam. You should complete this process as early as possible or by December 31 of your M2 year in order to maximize chances of obtaining desired testing location and date.

You MUST successfully pass your Step 1 before beginning your 3rd year clerkships.

Class of 2025 USMLE Step 1 must be taken by Monday, June 19, 2023.

You will select May - July as the three-month eligibility period in which you plan to take the exam.

After payment has been submitted for your exam, you will receive an email that states your application has been processed, but is still in incomplete status. Your EXAMS page will show a “Pending” registration status for the USMLE Step 1 Exam until your Certification of Identification and Authorization form is processed.

Class of 2025, please complete to the following steps

  1. Note the “Action Required” banner. Click the 'Complete and mail' link to obtain your Certification of Identification and Application Authorization form.
  2. Click on “PRINT” from the website and this will bring up a completed PDF file of your “Certification of Identification and Authorization Form”
  3. Verify information on the form.
  4. Next, check off "I authorize the NBME to accept my NBME on-line services password" on the bottom half of the form.  If you do not accept, you must complete the form each time you apply for an exam.
  5. NBME requires a handwritten signature by each applicant. If you are able to, submit your handwritten signature digitally and upload the form to the upload link below (after saving the PDF file to your local drive with file renamed with your complete Last name and First name, e.g.: Smith, Jane.)
    • If you are unable to digitally sign the form, you will need to print the form out, sign it and re-upload the form to the link below.
    • If you do not have access to a printer, please upload unsigned form to the link below and come to our office in Suite 1200 to physically sign off on the form which we can assist with printing.
  6. Office of Student and Academic Affairs will digitally affix your 2x2 clinical ID photo onto the Certification of ID and Authorization form and verify your student status by completing and signing under the "Authorized School Official" section.

It takes 1-2 weeks for your completed “Certification of Identification and Authorization Form” after  OSAA submits to NBME for processing and for your registration status to be updated as complete. Our office will submit completed forms to NBME electronically every Friday from October through December. As a courtesy, you are copied in that e-communication for your reference and record keeping. 

Please do not under any circumstances submit a duplicate submission via postal mail as this will indefinitely cancel out your initial submission through our office and also have the postal copy rejected. NBME is very strict with submission from each respective medical school.

Helpful Reminders

  • The official month for graduation is June. Please fill out the portion of your test application that requests “Date Medical Degree Expected/Conferred” accordingly.
  • On examination day, you must present your scheduling permit and an unexpired, government-issued form of identification that includes both your photo and signature to the examination site, (for example, a driver’s license or passport) and your name must be an exact match with the name you registered.
  • Once your score has been reported to the NBME, please retain the original USMLE Score Report. The Jacobs School of Medicine and Biomedical Sciences cannot report these scores on your behalf and you will need them for away elective applications. 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.


If you have any questions please contact:


Sherene Milizia.

Sherene Milizia


Office of Student and Academic Affairs

955 Main Street, Room 1205 Buffalo, NY 14203-1121

Phone: (716) 829-2802; Fax: (716) 829-2798