How to Register for USMLE Step 1 in 2025: A Step-by-Step Guide
September 30, 2025
If youâre wondering how to register for USMLE Step 1 2025, youâre not alone.
The USMLE Step 1 exam remains a critical milestone in the medical licensing journey.
In 2025, the registration process has been updated with the introduction of the
MyUSMLE Portal.
Understanding these changes is essential to avoid delays and ensure a smooth registration process.
Whatâs New in USMLE Step 1 Registration for 2025?
On March 10, 2025, the USMLE program officially retired the NLES platform and launched the new MyUSMLE Portal. This system is now mandatory for all Step 1 and Step 2 CK exam registrations. Existing NLES account data was automatically transferred, so most applicants do not need to reapply.
For International Medical Graduates (IMGs), registration continues via ECFMG’s Online Application until the transition is finalized.Â
If you plan to take the exam in early March, download your scheduling permit in advance and plan carefully to avoid registration disruptions.
Step-by-Step Registration Process (2025)
Here is a detailed breakdown of each stage of registration for USMLE Step 1.
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Here is a detailed breakdown of each stage of registration for USMLE Step 1.
| Stage | What You Need to Do | Tips & Notes |
|---|---|---|
| 1. Apply for a USMLE / ECFMG ID | Apply via the ECFMG siteâs âOnline Services / IDâ section. ECFMG | The ID is tied to your profile and is needed for all subsequent steps. |
| 2. Create or Activate Your MyUSMLE Account | If registering before March 10, 2025, use NLES. After that date, all registrations move to MyUSMLE. USMLE | Existing NLES accounts will transfer automatically. |
| 3. Verify Your Identity with ID.me | MyUSMLE uses ID.me â upload ID, selfie, or short video as required. | Verification usually takes 5â10 minutes if documents are in order. |
| 4. Fill Out the Step 1 Application Form | Log in, select Step 1, and complete personal and medical school details. | Ensure your name and school match official records. |
| 5. Select Your Eligibility Period | Choose a 3-month window when you plan to take the test. | Popular windows fill quickly â register early. |
| 6. Request Disability Accommodations (if needed) | Check the accommodations box and upload documentation if needed. | Requests take time to review â apply as early as possible. |
| 7. Verify Medical School or Graduate Status | Your school must confirm student/graduate status electronically or via Form 183. | Contact your registrar early to prevent delays. |
| 8. Pay Your USMLE Step 1 Exam Fee | $680 (U.S./Canada) or $1,020 (international). NBME | Fees are non-refundable and non-transferable. |
| 9. Receive and Review Your Scheduling Permit | Permit issued after approval; required to book test date. | If you miss your window, you must reapply and repay. |
| 10. Schedule Your Exam with Prometric | Use permit to book test center/date at Prometric. | Spots fill quickly â schedule right after receiving permit. |
| 11. Final Exam Day Checks and Tips | Check permit, ID, and test center policies. | Know what items are allowed inside the center. |
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Step 1: Get Your USMLE/ECFMG ID âApply for a USMLE/ECFMG identification number if you donât already have one.
Start here.
Step 2: Create Your MyUSMLE Account â
From March 10, 2025, all Step 1 registration goes through
MyUSMLE.
If you had an older NLES account, it will transfer automatically.
Step 3: Verify Your Identity â
Complete the required ID.me verification process by uploading official ID documents.
Step 4: Fill Out the Step 1 Application â
Enter your personal data, medical school details, and education history.
Step 5: Choose Your Eligibility Period â
Pick a 3-month window in which you plan to take your exam.
Step 6: School Certification â
Your medical school must verify your student or graduate status (Form 183 for IMGs).
Step 8: Get Your Scheduling Permit â
Once approved, youâll receive a permit needed to book your test date.
Step 10: Exam Day â
Bring your valid ID, arrive early, and follow all Prometric test-center rules.
Step 11: Final Checks â
Confirm your scheduling permit, double-check your test center location, and review all rules
about allowed items before exam day.
For complete details, always check the
USMLE Bulletin of Information.
Start early and stay organized â it will save you stress on the road to residency.
đ§ Frequently Asked Questions â USMLE Step 1 Registration 2025
1. What is the MyUSMLE Portal?
The MyUSMLE Portal is the new official registration platform for Step 1 and Step 2 CK, replacing the older NLES system as of March 10, 2025.
2. Do international medical graduates (IMGs) still use ECFMG?
Yes. IMGs will continue to register through ECFMGâs application system until the full transition to MyUSMLE is complete.
3. How much does USMLE Step 1 cost in 2025?
The fee is $680 for testing in the U.S. and Canada, and $1,020 for international testing centers.
4. What is Form 183 and who needs it?
Form 183 is used by IMGs whose schools do not participate in electronic verification via MyIntealth. It must be signed and submitted for ECFMG certification.
5. How long does it take to get the scheduling permit?
After approval, it typically takes a few business days to receive the scheduling permit via email. You need it to schedule your exam with Prometric.
6. Can I reschedule or change my eligibility period?
Yes, but changes may require approval and incur additional fees. Contact NBME or ECFMG early if you need to adjust your testing window.
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