While the majority of college and university campuses have discrete mental health and medical services, the integration of the two areas has been subject of increased discussion among student health and counseling professionals. The push to integrate counseling and health services is motivated by a variety of reasons: a philosophical desire to provide holistic care, a wish to emphasize wellness, as well as a thrust to streamline resources. This paper provides a snapshot of the current organizational structures of student health and counseling services across the country and explores the benefits and challenges various schools have encountered in the attempt to integrate valuable college and university services. Further, the paper offers recommendations for schools considering the integration of campus mental and physical health care. (Contains 5 tables and 4 figures.)