School-based services in Forsyth County, North Carolina began as the Forsyth County School Health Initiative in 1997 with funding from the Robert Wood Johnson Foundation. The School Health Alliance for Forsyth County (SHA) was officially established as a 501(c)(3) in December 1999. The School Health Alliance for Forsyth County (SHA) is a partner and supporting organization to the Winston-Salem/Forsyth County Schools (WS/FCS). The SHA operates school-based health centers and programs in partnership with our schools and other community health organizations to provide medical and mental health services that promote the health and educational success of school-aged children and adolescents. SHA integrated its clinical operations with Kintegra, a federally qualified health center, on February 1, 2017.