Organized around eight topics, this document provides guidelines for Oregon school district health services programs for students in preschool/kindergarten through grade twelve. A list of principles related to health program development, a summary of related health legislation, and a checklist for assessing compliance with Oregon administration rules are included, as well as suggestions for program development. Additionally, the teacher's role in health problem detection and referral is defined, and screening procedures for vision, hearing, height and weight, posture-scoliosis, teeth, and blood pressure are discussed. Subsequent sections cover communicable disease control and related responsibilities, emergency health care, and special health considerations (such as medication, child abuse, alcohol and drug abuse, pregnancy, suicide prevention, chronic health conditions, handicapping conditions, and health counseling). Finally, the topics of health records and health education are briefly discussed. Almost all of the sections of the document offer a checklist of statements for assessing the adequacy of school district health provision. Excerpts from legislation related to health care, guidelines for immunization, a communicative disorders program guide, growth charts, and screening forms are appended. (Author/RH)