As part of a Geriatric Education and Health Management program, a model nurse-managed free clinic has been established at an urban senior center by faculty and students of the University of New Mexico College of Nursing. Funded by a 3-year grant from the Department of Health and Human Services, the weekly clinic is based on Orem's self-care theory with the goals of promoting and maintaining health and preventing illness and its complications. Planning for the clinic was done conjointly with the New Mexico State Agency on Aging, the Albuquerque Office of Senior Affairs, and the University of New Mexico School of Medicine and College of Pharmacy, representatives of which serve on a professional advisory board and are available for consultation. The clinic provides individualized assessment and monitoring through collaborative planning, intervention, self-concept enhancement, and referral to community resources. Health promotion is ongoing in weekly group activities, a Growing Healthier support group, and Health Topic Seminars. This community nursing outreach activity fills an important need of the burgeoning population of underserved, socially isolated, culturally diverse, disadvantaged elderly--the need for accessible preventive health care emphasizing psychosocial and environmental interventions. (Author)