three questions: 1) If I ask school to do nueropsych testing, am I required to sign release forms for them to discuss difficult child with any of his mental health care profs? I am getting pressure already to sign a release for them to communicate with his psychiatrist. I take issue with it. They have letters stating his diagnosis, however, just like if he had cancer, I think they just need evidence of it- I don't think they need to see or discuss his entire medical record or with his doctors. 2) His diagnosis is bipolar not otherwise specified- at least that is what we are working on now, with a long-term hope that someday mood cycling will stop or slow down. I've written his previous test results below. These were done 3 years ago and I had them done privately. Teachers report things in the classroom that reflect the deficits seen in the test results. I'll use this as evidence that it effects his acedemics and that obviously, he has problerms that are still here even though he is no longer a "behavior problem" at school. ADHD was tested again 18 mos later and was found inconclusive. When they test for adhd, can they require or pressure me to treat him for that (ie- give him stims) even if I believe any adhd is a symptom of mood cycling? Ok- I don't think they can say I have to give him any medication, but I don't want them saying or documenting that I'm refusing to treat a condition. But I'm afraid to give him a stimulant and no one seems to see any sign of adhd when he isn't cycling. WISC-IV: Full scale-96 (average); verbal comprehension-98 (average); perceptual reasoning- 100 (average); working memory--99 (average); processing speed- 88 (low average); added note from psychiatric- performance across subscales was variable with scores ranging from 25th to 75th percentile WIAT-2: Reading composite: Average- 66th percentile-106; Math composite- Average range- 45th percentile-98; written language- average- 30th percentile-92 WRAML2: general memory index- low average- 19th percentile-87; auditory/verbal memory- low average- 21st per.-88; visual memory- low average- 16th percentile-85; attention & concentration- average- 50rth percentile-100 ROCF: Impaired (less than 1st percentile); done a second time- imparied (5th percentile) TOVA: -4.52- attentional impairments Halstead Reitan battery: speed/dexteroty- average for right hand; low average for left hand; non-verbal of hypotheseis- high average Bender visual-motor gestalt: average-70th percentile on perceptual motor tasks; when asks to reproduce a design from memory, performance was Low (3rd percentile) D-KEFS: trial making-average to high average; verbal fluency- low average to average; design fluency- average; color-word interference- borderline impaired to average; 20 questions- average 3) Should I ask for them to test him in any other area than those that he scored low in previously? IQ? Any additional test that should have been done before? Thanks in advance for any thoughts/suggestions!! PS- I don't know how much difference it made, but difficult child's testing was done during his first period of major difficult child trouble/out of character behavior and he'd just been released from his first acute psychiatric hospital stay about 10 days prior to testing.