I think you have approached this in just the right way, Brad. Medication doesn't work for a lot of students, and others choose not to take it for a host of reasons. Even those who do take medication do so to help them manage their attention problems -- it doesn't cure the problem. The bigger issue, though, is that nothing is Section 504 or the ADA gives us the right (or the obligation!) to engage in rehabilitation. It is not up to us to tell the student how he/she should be managing the disability. Our responsibility is only to respond to the student appropriate AS WE FIND THEM. Nice said.