This chapter describes organization of guidance and counseling services. As a part of the guidance program many nursing institutions have successfully implemented the ‘teacher guardian program’. In the teacher guardian program, each faculty member is given the full responsibility of a group of ten students. The class co-coordinator also look after the entire students in her class. Thus, a student is looked after by the teacher guardian at the ground level and the class co-coordinator at the next level. Teacher guardian has to conduct periodic meeting with her assigned group of students and assess their performance in the class as well as the clinical area. The purpose of organizing counseling services is to help adolescents with normal developmental problems, to help individuals through temporary crisis, to identify signs of disturbed problem behavior at the earliest, and to refer cases needing specialist treatment.