International students are coming to the United States in increasing numbers to study in the independent school setting. Compared with the general student population, fewer international students seek nursing intervention or medical attention for common illnesses and ailments. The purpose of this study was to determine barriers, real or perceived, that impede international students in high schools from seeking and utilizing health services that are available to them in the school setting. This qualitative study used Leininger's cultural care and universality theory. Self-contained focus groups were used to collect data that provided insight into attitudes, perceptions, and opinions as they relate to health care services, practices, and beliefs. Nursing implications include incorporation of culturally appropriate nursing care and the expansion of nursing practice to include traditional homeland remedies and medications in the treatment of international students in the school setting.