In schools, the term "consultation" has multiple meanings. Often it is used to describe a quick, informal process of advice giving between teachers and/or school specialists. As a formal discipline, School-Based Consultation (SBC) is an indirect service delivery model that involves two or more parties working together to benefit students. Most often, the relationship is triadic and a school specialist (e.g., school psychologist or school nurse) provides consultative support to a teacher (i.e., consultee) who works directly with the student of concern. The systematic study of SBC includes formal models, accepted components, and cohesive tenets derived from 40 years of research and practice. The purpose of this commentary is to suggest elements of SBC that might be useful to school psychologists and other school specialists who work with students who have significant medical concerns.