T'WO patterns of administration of 1 school health services exist in the United States. In one the school department operates its own health service and in the other the health department operates the health service within the school system. Considerable argument and conflict have occurred in recent years between proponents of the two patterns of administration. The extension and improvement of services to school children have at times been hindered by this jurisdictional dispute between two parties both sincerely interested in the same laudable objectives. In this paper we shall not. raise or try to answer the question of which of the two patterns is the better one. The question seems to be a pointless and academic one and does not face the realities of the present-day situation. Both patterns are part of the American scene and both will undoubtedly continue for many years to come. It is much more realistic to ask and attempt to derive answers to the following three questions. What are the desirable features of the administration of a school health service regardless of jurisdiction? What are the advantages that accrue from one or the other administrative pattern? How can the advantages of each be retained when the other type of administration is in effect? In the latter part of the