This report covers the first 5 months of a project to design and organize for implementation a Comprehensive Health Service Program Model within the Camden, New York, Central School District. Development activities included a survey of area school nurses, assessment of current operations, development of philosophy, a project overview with objectives, and the writing of a mission statement. Recommendations for staffing and physician recruitment, management, the maintenance of standards, orientation of staff, and program evaluation were made. Other activities centered on formation of an advisory health council and a student health recordkeeping system plan including computerization of student records. This part of the program was primarily developmental, with implementation planned for the next three years. Appendices include a program proposal, study of school nurses in Central New York, personnel recommendations, position statement on the use of school nurse-teachers, forms, and a bibliography. (KC)