This study examined data from focus groups with New York City adolescents and interviews with health care providers serving New York City adolescents (hospital based clinics, school based health centers, child health clinics, community health centers, and a multi-service adolescent center) in order to determine how to promote health and reduce risk. Results indicated that the breadth, cost, and accessibility of health services provided to adolescents depended on the setting they selected to obtain care. The results highlighted five areas of concern in adolescent health: ensuring confidential treatment for adolescents, fragmentation of services, limited resources for health education and outreach, the health practitioner/adolescent relationship, and physical and structural barriers that make many health clinics less than adolescent-friendly. Recommendations are provided regarding the most common ways adolescents learn about health services; clinic environments; preferred appointment policy; health education; parental involvement in teen health decisions or treatment; relationships with primary care providers; and confidentiality. Three appendices present the site visit questionnaire, data questionnaire, and questions presented to teen focus groups. (SM)