Virginia's Department of Education and Department of Health are concerned with the health of children and youth, and with the implementation of comprehensive school health programs. These guidelines provide a basis for developing a model school health program or for enriching an existing program, focusing on health services and school environment. Following a foreword noting that local autonomy, the presence of professional personnel, and availability of resources will influence the way the guidelines are adapted for local use, the sections of the guidelines are: (1) "Administrative Aspects of School Health," including interagency agreements and delineation of roles and responsibilities; (2) "School Health Environment," including mechanical operations and school food service; (3)"School Health Services," including special education medical assessment, school procedures for child protective services, and special health services; (4) "Risk Management," on legal liability issues and record-keeping; (5) "Students with Special Needs," including related public laws and sections of the Rehabilitation Act; (6) "Code of Virginia: Sections Relating to School Health," including attendance requirement, vision and hearing screening, and substance abuse; (7) "Evaluation of School Health Services," with specific guidelines; and (8) "Virginia School Health Forms," including certificate of religious exemption, scoliosis report, nutrition worksheet and referral form, and cumulative health record. Six appendices include recommendations from Virginia House and Senate, school nurse performance evaluations, and communicable disease reference chart. (WJC)