I have actually found that the discipline of having to go to the health center to get meds each morning has increased both my boys compliance. DS2 almost never took his meds more than 1-2x week at home but goes every day now. At his school, health center is in same building as dining hall so very convenient. DS1 somewhat resents that the health center at his school is all the way at the edge of campus, but that resulted in his getting a scooter to make the trek easier.
I think at the less rigorous schools that have robust learning centers, faculty will be accommodating about notes. DS1 found that when he approached teachers needing help with notes, they either posted them to the portal or found another way to help.
Another accommodation that can be helpful is being able to use laptop or iPad for note-taking in class. DS1 uses a note-taking app on the iPad that makes a big difference to him.