I would strongly suggest that you request a conference with his teacher immediately. You have the right to an evaluation of your son by the team of professionals at his school-social worker, psychologist, special education, occupational therapist, etc. You may have to contact your family doctor as part of the evaluation, and, if they find ADHD, meds may be part of the treatment. However, his educational environment could also be modified for him, including allowing him to take tests in small groups, special seating arrangements, a revised schedule, breaks worked into his schedule, etc. Now is the time to get to the root of this problem-whether it's attention, learning disability, being bored, etc. You should not have to spend huge amounts of money to have this matter resolved(in fact, his school should be doing the majority of the evaluating, so that part should be free). For your son's sake, contact his school now. As other moms have said, don't be afraid to get the ball rolling now and begin the process of helping him be the very best that he can be. (BTW, please, please don't let the teacher drop the ball, either, by saying, that, oh, well, he's just bored or unmotivated. You and he have the right to know why he is not doing his best and how the school can help him to improve.)