If you plan to apply to osteopathic medical schools in the United States, you will most likely submit your primary application through AACOMAS, the American Association of Colleges of Osteopathic Medicine Application Service.
AACOMAS allows applicants to complete one centralized application and send it to multiple participating DO schools. For the 2026-2027 application cycle, AACOMAS opened on May 4, 2026, and the overall application cycle closes on April 30, 2027. Individual medical schools can have much earlier deadlines.
These are centralized AACOMAS dates. Your individual DO schools may have their own primary and supplemental deadlines, so always check each program separately through the Choose DO Explorer.
You should apply early, but accuracy matters more than submitting an unfinished application on opening day.
Many osteopathic medical schools use rolling admissions, meaning applications, interviews, and admission decisions can occur throughout the cycle. AACOM specifically advises applicants to submit early because interview spots and class seats may become more limited closer to school deadlines.
A good goal is to have your major application components prepared before AACOMAS opens, including:
The AACOMAS application is divided into four major areas.
This section covers information such as:
Complete these sections carefully and make sure details such as your legal name match your official documents.
AACOMAS requires detailed information about your educational background.
You will generally enter:
Do not list only prerequisite courses. You need to report the colleges you attended and applicable coursework according to AACOMAS instructions.
Official transcripts also need to be submitted so AACOMAS can verify your academic record.
This is where much of your application begins to show who you are beyond your grades.
It includes:
AACOMAS allows applicants to request letters of evaluation from people such as professors, physicians, supervisors, and other appropriate recommenders.
Individual DO schools may have different letter requirements, so check each program before deciding whom to ask.
Experiences can include:
Your descriptions should focus on what you did, what you learned, and how the experience contributed to your development, rather than simply listing duties.
Students still building healthcare exposure before applying can consider structured Pre-Health and Pre-Med Internships that provide supervised opportunities to observe healthcare delivery and develop a better understanding of clinical environments.
This section may include relevant:
Choose achievements that genuinely add useful information to your application.
The AACOMAS personal statement allows up to 5,300 characters. Use it to explain your motivation for becoming a physician and the experiences that shaped that decision. Avoid simply repeating your activities section.
For DO applicants, you should also be prepared to explain why osteopathic medicine aligns with your understanding of medicine and your career goals.
The Program Materials section is where you select the DO schools receiving your application.
Requirements differ by institution and may include:
AACOM emphasizes that requirements can change, so applicants should verify them through both the AACOMAS system and the individual medical school's website.
Submitting does not mean your application is immediately ready for medical schools. AACOMAS first processes and verifies your application.
During verification, information such as coursework and academic records is reviewed before the completed application is transmitted to your selected programs.
Errors can delay this process, which is another reason to carefully check course names, grades, institutions, and transcripts before submitting.
Once your application is processed, monitor its status regularly and respond quickly if AACOMAS identifies missing information.
Some information can still be updated after submission, but much of your original application becomes locked.
Depending on AACOMAS rules, applicants may be able to update or add information such as:
However, you generally cannot freely rewrite sections that have already been submitted.
Review everything carefully before paying and submitting.
For the 2026-2027 cycle, the AACOMAS fee is:
Payment must be received before AACOMAS processes the application.
Remember that this is only the centralized application fee. Individual medical schools may also charge supplemental application fees.
Yes. AACOM offers a limited number of fee waivers for eligible applicants. The current waiver covers the $198 initial AACOMAS application fee, while applicants remain responsible for additional school designation fees.
Approved fee waivers are valid for only 14 days, including weekends and holidays, so applicants need to be prepared to submit within that period. Fee waivers are limited and awarded while funding remains available.
Do not confuse AACOMAS with AMCAS.
If you are applying to both MD and DO medical schools, you may need to complete both application systems.
Before submitting, confirm that you have:
Do not rush the final review. A preventable error can create delays during verification.
AACOMAS may seem complicated at first, but it becomes much easier when you approach it section by section.
For the 2027 entry, the most important strategy is to prepare early, submit an accurate application, understand each school's individual requirements, and avoid waiting until final deadlines.
AACOMAS remains open until April 30, 2027, but because many osteopathic schools use rolling admissions and set earlier deadlines, applicants should not interpret that date as the ideal time to submit.
AACOMAS opened for submissions on May 4, 2026. The centralized application cycle closes April 30, 2027.
For 2026-2027, the first program costs $198, with an additional $60 for each additional program.
AACOMAS is the centralized application service used by participating U.S. colleges of osteopathic medicine. Applicants should still verify the application process and requirements of every individual school.
You do not necessarily need to wait for an MCAT score before working on or submitting your AACOMAS application, but individual schools have their own MCAT requirements and deadlines. Check each program before deciding on your application timing.
Some information can be added or updated after submission, but major portions of the submitted application become locked. Proofread carefully before submitting.
Apply when your application is complete and strong rather than waiting for a school's final deadline. Because many osteopathic schools use rolling admissions, AACOM recommends applying early in the cycle.
Recent Articles , MCAT/MSAR/USMLE,
Author: Tatina Himes
Date Published: Sep 2, 2026
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