Built in 1965, the University of Oregon's University Health and Counseling Center was originally designed for what is now an out-of-date concept of inpatient medical care. The facility now houses two separate wellness-related University departments: the University Health Center, which provides primary care outpatient services, education and campus outreach in health promotion and disease prevention, and the University Counseling and Testing Center, which provides outpatient mental health care and houses a state-of-the-art testing center. Swaim Associates was asked to perform a programmatic review of the University Health and Counseling Center in preparation for an expansion and complete remodel of the existing facility. Through an interactive process, the project vision was established and the program was developed. Throughout the process, the program needs were balanced with the available budget to ensure that the eventual design would be able to properly accommodate the program.