Preparing for College Accommodations: Why a Neuropsychological Evaluation Matters

Transitioning from high school to college is exciting—but for students with ADHD, learning disabilities, or other challenges, it also comes with new responsibilities. One of the most important steps families can take before graduation is securing a neuropsychological evaluation to ensure their child receives the right college accommodations.

How College Accommodations Work

Unlike high school, where IEPs and 504 Plans guide support, colleges do not automatically transfer those services. Instead, students must register with their university’s Disability Services Office and provide recent documentation that clearly shows their diagnosis and how it impacts learning.

Examples of common college accommodations include:

• Extended time on exams

• Testing in a distraction-reduced environment

• Note-taking assistance or access to lecture slides

• Use of a computer or speech-to-text software

• Flexibility with attendance in cases of medical conditions
  

Without proper documentation, these supports can be delayed—or even denied.

Why a Neuropsychological Evaluation Is Key

A comprehensive neuropsychological evaluation goes beyond basic school testing by providing objective, detailed data about how a student learns and where they struggle. This type of evaluation is especially valuable for college because:

• It is current and thorough. Colleges often require documentation within the past three years.

• It connects diagnoses to accommodations. The report explains why a student needs specific supports like extended time or a reduced-distraction setting.

• It provides a roadmap. Beyond helping with Disability Services, the evaluation offers strategies to support academic success, time management, and study skills.
  

When to Schedule an Evaluation

Ideally, students should complete a neuropsychological evaluation by junior or senior year of high school. This timing ensures:

• Updated documentation that meets college requirements

• Enough time to submit paperwork before the first semester begins

• Clear recommendations that can guide study skills and preparation before classes start
  

Who Benefits Most from College Accommodations?

Students with the following challenges are most likely to benefit from evaluations and accommodations:

• ADHD – Struggles with focus, time management, and organization

• Dyslexia or reading disorders – Difficulty keeping up with heavy college reading loads

• Dysgraphia – Trouble with note-taking or essay exams

• Anxiety and mood disorders – Need for flexible testing conditions or reduced-distraction environments

• Medical conditions – Require rest breaks, flexible attendance, or other modifications
  

The Bottom Line

A neuropsychological evaluation for college accommodations is one of the best ways to set students up for success as they enter higher education. By ensuring your child has the proper documentation and support in place before classes begin, you’ll help them transition with confidence and independence.