Guidelines for the development of the 1-year plus one summer session type program and the 2-year associate degree program are presented under the following headings: (1) Technical Course Content, (2) Faculty, (3) Affiliated Accredited Hospitals, (4) Organization of Program, (5) Curriculum, (6) Recommendations for Non-Technical Courses, (7) Hours for Supervised Learning Experience, (8) Major Considerations, and (9) Suggestions for Planning. The program director should be a Registered Medical Record Librarian. A ratio of one professional faculty member to about each 10 to 12 students is recommended. For the 1-year program, courses are recommended in English, anatomy and physiology, medical terminology, medical record science, typing or secretarial practice, mathematics, machine transcription, and physical education. For the 2-year program, courses are also recommended in psychology, sociology, history, and speech; there is additional work in medical record science and provision for an additional elective course. Directed practice in a hospital medical record department should be included in both types of programs. Outlines of 2-year programs at colleges in California and Minnesota are included. (JK)