Over the past decade, the number of students with disabilities enrolling in college has increased steadily. Data are not gathered annually, but the figures compiled by the National Center for Education Statistics show that the number of undergraduates at degree-granting institutions rose from 1,508,000 in 1999 to 2,156,000 enrolled in 2003, a 69 percent increase over only four years. There is no reason to believe that this upward trend has changed in the intervening years. The recent amendments to the Americans with Disabilities Act (ADA), enacted in January 2009, are expected to add to the number of students applying for accommodations at college, as they have added to the definition of who is considered disabled. This article points out that it can be helpful for college counselors to understand the changes students will experience when they move to college. Having this knowledge will allow counselors to educate students and their families about the disability services environment at particular institutions. Counselors can encourage students and families to consider disability services as an important criteria in their college search. The first step is to have an understanding of how services work at the high school level.