Many gifted students are served through special programming. However, little large-scale information is available regarding the incidence of psychological disorders, medication requirements, and counseling histories in that population. This type of information is important to ensuring the well-being of gifted students, particularly those served through residential programming. This study reports the results of a review of medical information forms for over 1,900 gifted 8th–11th graders participating in a 3-week residential academic programs. Rates of diagnosed psychological disorders, medication prescriptions, and counseling needs are presented. In general, this sample reported low rates of psychological disorders, medication use, and counseling. Results are discussed in terms of program development and program policy issues.