The purpose of this study was to determine the status of the health appraisal services provided for primary school children in Edo State, Nigeria. Using the cross-sectional survey design a total of 1506 primary school children were selected from across the state as the study participants. The analysis of data collected through a 14-item questionnaire showed that: four vital aspects of health observation (observation of mouth and teeth, nose and throat, skin, and ears) were not provided for the children; all aspects of health examination were not provided for the children; and records of the health histories of the children were not kept. These results were discussed and the study recommended that professional counselors be enlisted in the schools for a better management of school health services. (Contains 1 table.)