The School Health Demonstration Program (SHDP), undertaken in 1981, is a coordinated effort by the New York State Departments of Health, Education, and Social Services to provide direct health care, health promotion/illness prevention, and health education to children from low income communities with inadequate access to primary health care services. This report contains the results of the 1982-83 school year evaluation from four separate studies: a formative evaluation, a school-site health care study, a principal and teacher survey, and a utilization/cost impact study. Evaluation highlights from the nine demonstration projects include: (1) linking the school team to a health facility offers many benefits; (2) 63 percent of the 36,000 children in participating schools were formally enrolled in the program; (3) the SHDP had 83,602 encounters with children during the school term; (4) trauma, usually minor, was the most common reason for visits; (5) six percent of all encounters led to referral, most commonly for eye disorders, respiratory problems, and acute injuries; (6) the staffing pattern seems appropriate; (7) the SHDP reached children and their families with a wide-ranged health education curricula; and (8) principals and teachers enthusiastically supported SHDP staff and services: both reported positive impacts on attendance and learning. (ES)