Linda, That's a tough one, Linda. There is a LEGAL definition of disability (given in 504 and restated in the ADA) that would have gotten the student accommodations for the state board exam but you are right -- he can't get that without formal diagnosis. Perhaps the next time you find a similar situation, while you are helping the student by giving the appropriate support for his classes with you, you can also help explore community resources that can provide the formal diagnostic statements needed for others. First stop would be the nearest college with a Psych clinic (where students-in-training have to gain practice hours while in training), as they often operate on a sliding scale for pay. Next, you might try to contact a local chapter of LDA (Learning Disabilities Association), to ask for a referral for someone with limited means. Dr. Jane Jarrow