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School-based health centers (SBHCs) are an important source of medical care for low-income and uninsured adolescents, and are a promising way of addressing unintended pregnancy and STIs. Controversy over teens and sex has had a significant impact on the provision of sexual and reproductive health services, and many SBHCs remain limited in their ability to meet the needs of adolescents by dispensing contraceptives on-site. Many SBHCs have overcome challenges and successfully integrated sexual and reproductive health services with other medical care. They can serve as models for other SBHCs.