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As a psychologist, you may be asked to provide a university or professional licensing board with recommendations concerning special test accommodations for a student you diagnosed with a learning problem. In this article, the author discusses experience consulting with states administering the bar examination to law graduates diagnosed with attention deficit hyperactivity disorder who requested test accommodations; this experience illustrates the controversies surrounding this issue. Psychologists' recommendations for test accommodations are too often based on incomplete evaluations with unclear rationale for their support. Test agencies lack research to support their concern that validity is altered when test accommodations are granted.