Background A majority of morbidity among adolescent females stem from sexual involvement. Yet, many at-risk adolescents are not using family planning (FP) or SID services. This study was undertaken to determine characteristics of FP or STD services that may enhance or deter use by adolescent females. Methods Using a standardized questionnaire, 114 adolescent females (15.6 ± 1.4 y.o.; 70% B, 30% W) were interviewed during their initial visit to adolescent clinics serving high risk urban teens. The questionnaire contained 13 items describing specific features of a clinic: costs (2 items: free, a small fee), type of clients served (2 items: teens only, females only), characteristics of services provided (3 items: confidential, comprehensive, same provider), location (5 items) and evening hours (l item); responded on a 4-point Likert scale (1-like very much; 2-like somewhat; 3-does not matter at all; 4-would not like it). Results 44% had a past Hx of treatment for an STD, 62% had been screened for HIV, 23% were dropped out of school, and 36% had been pregnant at least once. 75% reported to be in a “steady relationship”. In last one year, 41% did not have any type of medical care or medical check-up and 31% were seen an ER. 64% reported no current contraceptive use although 54% had used pills and 21% had used Depo-Provera in past. Strongly endorsed (by over 80%) clinic features were confidential service, served by a same provider and free services. A clinic serving teens exclusively was favored by those who have never been pregnant (p Conclusion This study delineates features of STD and FP services preferred or disliked by high risk adolescent females. These findings have implication in planning preventive and screening services for specific groups of high risk adolescents.