In 2011, the Neighborhood Health Source (Minneappolis, Minnesota) evaluated the scale-up of a texting-to-email program designed to increase access to sexual and reproductive health information and care to young people and reduce no-show rates at appointments. In 2010, they expanded their reproductive and sexual health program “Seen on da Streets” by increasing outreach-based STI testing, offering expedited partner therapy, and expanding the audience to include young women and Latino youth.