ABQmom, is this diagnostician part of the school (or district)? I have seen appallingly bad testing methods in schools; you may need to bring results from an outside professional into the discussion.

I would also recommend getting a private OT on board to work on shoe tying and balance (toward the bike riding). Not being able to do these things can be very stigmatizing for a kid; they're not academic skills, but they are important IMHO.

DeeDee