Thanks for the additional information. He has qualified for RTI, and will get an IEP to "catch him up" but I am trying to think longer than the next 6 months. Polarbear, at this point I fear we are going down the same path as you….we have had school testing, private testing etc. etc. and all seem to say the same thing. At this point I am more interested in the longer term remediation plan rather than an actual dx. Each year in October, it seems we start again. Have you found any key "words/components etc" in the intensive tutoring or alternative reading programs? We have tried a bunch and the only one that seemed to work well for him was Lindamood-Bell, but I am not sure a 9 year run of that is in my budget!