4 is too young to be tested for ADHD or ADD. The studies I've read say until a child is about 10 it really hard to tell, one way or the other. Yes in some cases you can tell, but in a lot of cases you have to wait.
The SCHOOL, claimed my son might have ADHA or ADD, I didn't' think so, but the school, brought in a bunch of counselors and I agreed to have him test by their doctor, the test came back as needing more testing. I read the results and compared them to the chart that was attached, on ONE test he was borderline, the rest were normal. They pressured me to have him retested, they made all kind of promises, if he wasn't they would get him a little help in the areas that he was having trouble with, he needed some PT and OT and they would make sure he got help.
So I did have him retested by a Dr. recommended by my Dr. and one of the best in the state.
He wasn't and suddenly the school wasn't interested in him anymore, I'm paying for his PT and OT.
All the school wanted was a little check mark by his name saying he was ADD or ADHA and they'd get more money, a lot more, and they wouldn't have to do anything for it. After all he would just take a pill in the morning, (they won't give out meds in the school). When they found out it might cost them money they sudden didn't think there was a problem.
I'd have her Dr. check her out for her sleeping, keep an eye on her. And if she can't keep up on her school work, or she's have trouble in other areas then have her tested. But really I'd wait until she was at least 7 or 8 before I'd be too worried about it.
If she does come back with ADD or ADHD have her retested by a Dr. not connected with the school.
Then make your decision, if she need meds then she needs meds. The Dr. I took my son too said if he was ADD or ADHA he would prescribe meds, no question, but he added he had taken many kids off meds.
But, if you really look I think you’ll find she’s way too young for the test to be of any use.
Hope it helps, good luck.