This guide was designed to serve as a framework for developing a health program in relation to the needs of an individual school's pupils and available community resources. The roles and responsibilities of the various personnel involved in the health program are delineated to provide guidelines for the development of cooperative and coordinated programs to effectively meet the health needs of the school population. The school health program that is suggested is divided into three general phases: (1) health services; (2) healthful school environment; and (3) health education. A number of factors are described, both inside and outside the school, which may determine the success of a health program. These include: (1) the contribution of health related organizations, religious groups, service and social groups and professional organizations; and (2) the attitudes of a variety of health care personnel. (Author/BW)