An assessment of school health programs, policies and practices in the Bureau of Indian Education (BIE) schools was initiated because of concerns by Native American serving providers and advocates that American Indian youth have limited access to school health services, and because there is increasing national and state momentum with respect to health disparities and inconsistency in school health programs. A telephone survey was developed and administered to BIE principals or their designees between October 2006 and April 2007. Thirty-nine (95%) of the schools participated. Domains assessed included health facilities; school health staffing and collaboration; behavioral/mental health services; health education; student, family and community engagement; school health records; immunization; procedures for student medication and management; acute care management; and care of medically complex and medically fragile students. Special analyses were conducted comparing boarding and day schools, and BIE-operated and BIE grant schools. The report provides a summary of demographic information on the BIE schools in New Mexico. This is followed by the section describing data obtained in each of the domains structured to provide: (1) A description of each domain; (2) School health guidelines and standards established by national organizations; (3) A summary of the data; and (4) Key findings. The report concludes with the following sections: (1) A comparative analysis of school health services that examines: (a) BIE- operated schools vs. BIE grant schools (b) Boarding schools vs. day schools and (c) Student population; (2) Perspectives from interviewees regarding their school's strengths and unmet needs regarding school health services and programs; (3) A discussion of the "main themes" that emerged from analysis of the BIE School Health Assessment data; (4) Recommendations for the BIE and for state agencies that may have resources to contribute to BIE schools for school health programs; and (5) Appendices which provide more detailed information. Appendices include: (1) School Health Staffing and Collaboration; (2) Behavioral and Mental Health Staffing and Collaboration; (3) Health Education; (4) Student Health Records; (5) Immunizations/Procedures for Student Medication Administration; (6) Summary of Main Themes and Key Findings; (7) Healthy People 2010; and (8) References.