The procedures for establishing a reading clinic in the Lufkin Independent School District are reported. Specifically discussed are (1) the qualifications and selection of staff (director, clinicians, secretary/librarian); (2) suggested materials for word recognition and comprehension; (3) diagnostic procedures and tools used; (4) the instructional schedule tailored to the individual needs of each child, focusing on developing self image, language reading experiences, reading mathematics, and associated problems; and (5) objective and subjective means of evaluation. A study of the achievement of 12 matched pairs of second-grade students is also included. After the 7-month period, the experimental group, who received 1 hour of clinical instruction daily, had a significantly higher mean growth on the Stanford Achievement Test and the Spache Diagnostic Reading Scale. A significant difference in attitude and motivation was also noted. References are included. (CL)