Lactation arrangements

Lactating individuals may be approved for nonstandard testing arrangements so they can pump or express milk during their exam appointment.


Due to high volume, applicants may expect a longer than typical processing time.

Lactating individuals who need to pump or express milk may be approved for these nonstandard testing arrangements:

  • Sixty minutes of extra time for pumping or expressing
  • Use of a designated space for pumping or expressing
  • Permission to keep water in a transparent, spill proof, sports-type bottle with a spout at the testing desk

For individuals who are approved to pump or express milk, PSI test centers in the United States and Canada will provide a private space. The space varies at each test center, but all have a chair, table, electrical outlet, and door. The private space is available to individuals approved for this nonstandard arrangement and may be used only for pumping or expressing milk. PSI will disable camera views and block viewing windows as needed in the designated private space.

How to request lactation arrangements

Candidates requesting lactation arrangements need to attest to their need on a form with a digital signature. Request the digital form below. You must be approved for lactation arrangements by ASWB before you register to take an examination. If you make a testing appointment prior to obtaining arrangements, you will be required to cancel your testing appointment because special arrangements cannot be added to an existing testing appointment.

After you submit a request with your digital signature

  • It typically takes three weeks to process a complete request. If your request is incomplete, we will email you.
  • Once your request is processed, we will email you a determination letter with details, including your next steps.
  • It is your responsibility to contact ASWB if you have not received any communication within three weeks.


Please provide the following information to receive a secure link.

Submit this information and we will email you a secure DocuSign link to complete the lactation request form electronically. The DocuSign lactation request form should only be completed once.

Please provide your name as it appears on your government-issued photo ID.