Hi H.,
My son was originally diagnosed in k-5 ADHD, but later as the years went by, I had him rediagnosed and he was actually ADD. Later on in the 3rd Grade, he was then rediagnosed again and found out that he is ADD + MOOD Swings. For that reason with the additional disorder is because he was put on different medications (Concerta, Ritalin, etc) I hated every moment giving them to him. But doctors, teachers, physicians that referred me to psychologist/Psychiatrist...etc, told me this is the best thing to do. In my heart I knew there was more than just medication.
My son is now in 4th Grade. He had to repeat 3rd grade because of the deficit disorder. Academically he was failing and teachers, again, said this would be the best thing. He is in his 3rd week of school and he is already falling behind on home/classwork. He hasn't been on medication since last school year and I refuse to put him on them. I have learned through research that diet, and alternative medicine works even better than giving child a chemical stimulant that only temperizes the situation or can even make it worse (i.e. Mood swings, suicidal thoughts and acts, loss of appetite, depression).....GO BY YOUR INSTINCT. Teachers referrals are fine and dandy, but be cautious in what they are looking for in your child. If they want convenience and the easy way for them and not for your child, then you need to disregard their advice completely.
Once a child is referred, they go through a variety of tests, usually a school psychologist does a test that the school system can allow to find out the strengthes of the child as well as weaknesses (if they need to be in special classes). Also you can have a child psychologist of your choice to evaluated her as well. To get a second opinion. CHECK INTO THESE ALTERNATIVES!!!....biofeedback, chiropractic, dieting, (ADHD.ORG), natural dietary supplements (ie. powder form medicine that they drink you can find in health stores), acupuncture -- just to name a few.
Good Luck