This study investigated the factors related to the delivery of health care services by school nurses. The purposes of the study were divided into three categories. The first was the nurses' identification of the handicapping conditions of children in their caseloads and their perceptions of the children's health problems. The second involved data about the nurses' educational background and preparation they felt as useful in their work with children with handicaps; data on barriers which limit or prevent nursing care of these children was also solicited. Third, information was sought about future plans of nurses for obtaining more education, barriers perceived which hindered their plans, and special considerations in program planning that would facilitate their educational goals. Institutional guidelines were written based on findings of the study and the review of literature.