A survey of 230 cities in 50 states was taken to determine the present pattern of administration of school health services in the United States. The results indicate that school health services are administered predominantly by boards of education. Superintendents of schools prefer this administrative pattern in nearly 80% of the cities included in the survey. Among reasons given by superintendents of schools for recommending administration by the board of education are (1) efficiency and simplicity in single agency administration; (2) greater success in obtaining funds for school health services; (3) better understanding of the total school situation by the health service personnel; (4) more complete integration of health services and health education; (5) more emphasis placed on school health; and (6) larger and better service to school-age children.