Pawtucket, Rhode Island has a population of 72,958 residents, many of whom are recent immigrants. Many of the students in this city's public schools lack access to medical care. We are proposing to establish a medical home for students at Shea High School that will be a school-based satellite office of pediatrician, Dr Tanya Becker. Shea was selected because it has a diverse student body of 1,000 adolescents who represent 50 countries, 25 languages and come from predominantly low-income families. It is considered the newcomer high school in the city, where 22% of the students speak a language other than English and 82% receive free/reduced lunch. In a recent health care survey, over 57% of the students indicated they had not seen a doctor in the last year. Access to culturally competent, high-quality, continuous and comprehensive physical and behavioral health care through a school-based medical home is an effective way to reduce health inequities and improve the overall health and educational success of our target population. The clinical medical home model will provide for a continuum of care beginning with the school nurse, the coordination of specialty care, and improve the link between school, parents and the medical provider.