Focus is on the duties of an administrator in establishing a reading clinic. Learning difficulties and characteristics of severly disabled readers are listed. Current approaches such as the university clinic, public school clinics, and mobile clinics are shown, and working examples of each are cited. Considerations of use, financing, and responsibility in organizing a clinic are noted, and techniques for selection of children who will use the clinic are given. Staffing and training, testing, materials purchasing, services offered, establishment cost, and steps for setting up a clinic are described. A bibliography, a sample booklist for a reading clinic, and a roster of university reading clinics that treat severe reading disabilities are included. (JB)