The New York City Department of Health (CDOH) traditionally has provided health care to the approximately one million students in New York City's public schools, but budget cuts have reduced its services substantially. Both the New York State Department of Health (SDOH) and New York City Board of Education (BOE) have been critical of CDOH's services and have created demonstration projects providing different levels and methods of school health care. The Health Section of Citizen's Committee for Children of New York, Inc. evaluated the three forms of school health service and prepared this report summarizing its findings. The report presents a brief history of school health services in New York City, describes the patterns of delivery of school health services, analyzes the level of services provided by the three agencies under review, and proposes a new model for school health services based on the two demonstration projects. Recommendations include a core program for all schools plus additional services in "high risk" (low income) districts. Estimates are given as to funding that would be required to support such a program. Appended to the report are (A) statistical information on existing school health programs; (B-D) descriptions of the CDOH school health program, the BOE demonstration projects, and the SDOH demonstration projects; (E) a matrix used by the SDOH to determine which City districts are "high risk"; and (F) a memorandum on differences between City and State projects in Community School District #4. (CJM)