I've been reading here for just over a year, and have found all of your advice especially helpful. Because of what I've learned through this forum, we skipped the round robin of differing diagnosis's and went straight to a neuropsychologist when we realized we were over our heads with our daughter. daughter has an IEP already for speech therapy, and we're going in for our review tomorrow. We just got the neuropsychologist report back with the ADHD - combined type diagnosis and a list of recommendations. We'll be bringing that in with us when we go tomorrow, but when we called today to find out what we needed to prepare for, we learned that they don't like to give IEPs for ADHD, and usually go with the 504. I know that a student cant have both at one time, but the speech therapist has been hinting that this year will be her last for speech therapy, because of all the wonderful progress shes made so far. (and I don't disagree) One of the recommendations was for my daughter to have periodic breaks during class time to go out and get some physical activity. My concern is that this will require an extra staff member to be with her during that time, and that the school is going to balk at it because of the extra expense, that will be the schools responsibility with the 504. Is there anything I should go in armed with? Any extra planning or strategizing I can do to make sure that my daughter gets what she needs? Is there certain criteria for an IEP that I could push for instead of a 504 - or are there advantages to a 504 that I'm missing? Any advice is most welcome - we're desperate to start making real headway after a could of years of struggling.