This monograph presents the California State guidelines for providing physical health care services within the public school setting. Part I addresses administrative concerns. Included are sections on: education and chronic illness; professional roles; referral and evaluation; guidelines and procedures for transporting chronically ill pupils; staff development models; and school board policy and administrative guidelines. Part II summarizes specialized physical health care services procedures requiring a physician's authorization. These include: anaphylactic reaction--emergency care; catheterization; blood glucose testing for diabetes; glucagon injection (diabetes); hypoglycemia/keto acidosis (diabetes); dysreflexia (hyperreflexia)--emergency care; gastrostomy feeding method or pump; gastrostomy tube reinsertion; intravenous medication and infusion; silastic catheter; mechanical ventilator; nutrition screening; ostomy care; oxygen administration; respiratory assistance; and tracheostomy. Part III considers the prevention of infectious diseases in the form of three lessons which cover: (1) information about infectious diseases; (2) techniques for preventing the spread of infectious diseases; and (3) control of infectious diseases in the classroom setting including diapering and toileting. Part IV reviews routine care not requiring a physician's authorization such as use of braces, canes, casts, crutches, walkers, and wheelchairs. Four appendixes present additional information on program modifications, sample forms, pediatric consultants and nursing personnel, and selected laws and regulations. A glossary is also included. (DB)