Text messaging has become the primary method of communication among teenagers and young adults. Cell phone owners between the ages of 18 and 24 exchange an average of 109.5 messages on a normal day; this suggests that text messaging may play a role in communication between adolescent patients and their healthcare providers. The purpose of this study was to examine the feasibility of a text messaging program for complimenting a clinical visit and augmenting health education in an adolescent healthcare setting. An integrated texting platform included three components: birth control reminders, health education messages, and a 'chat' function. Of the 700 patients made aware of the program in a 6-month period, 42% (291/700) used text messaging at least once for birth control adherence or educational purposes. The ability for patients to text questions confidentially and anonymously was popular with many questions requesting information about proper use of birth control. The study showed that text messaging may be a valuable and feasible tool to augment health education efforts for adolescents attending a primary care setting. Further studies are ongoing determining the effectiveness of text messaging in improving outcomes of patient adherence to and correct use of birth control methods.