This study aims to develop a scale to assess the attitude of university students towards rural health services.The research was conducted with 378 students studying in university health-related departments in Türkiye. The Attitude Scale Towards Rural Health Services was developed through a systematic process including problem identification, literature review, item-writing, gathering of expert opinion, pilot application and finalisation. Initially consisting of 35 items, the item pool was reduced to 21 items after expert review and pilot testing. Exploratory factor analysis was carried out on the data. In addition, composite reliability and average variance extracted values of the scale and its subdimensions were calculated.Exploratory factor analysis identified three factors: positive attitude, voluntarism and contribution, and concerns and limitations. Reliability analysis showed that the Cronbach's alpha values for all subscales were greater than 0.70, indicating high internal consistency.The study concluded that the Rural Health Services Attitude Scale is a valid and reliable tool for assessing health students' attitudes towards rural health services.