The objectives of this Off-Reservation Indian Health Study were to identify the health problems existing among the off-reservation Indian population and to determine the adequacy of health services delivery to this group. Survey interviews using a structured questionnaire were carried out with the heads of 192 off-reservation Indian families (834 individuals). Fifty unstructured or depth interviews were conducted with both off-reservation Indian health conditions, sources of and paying for off-reservation medical care, off-reservation Indian health care rights, and some major barriers to off-reservation health care. Recommendations covered a new system of health care delivery, increased funding, a comprehensive study to determine the optimal way to provide health care, and an information campaign. Short-term recommendations included additional contract services, health care clinics, and a system for obtaining prescription refills. Three appendices included selected depth interviews, background information, and survey tables. (PS)