Adverse childhood experiences (ACEs) are known to have lifelong impacts on an individual's well-being. Humboldt County, California has the highest rate of ACEs in the state, and currently, there is no knowledge of pediatric providers understanding of the need to screen for ACEs. Understanding that adverse experiences during childhood can have lasting impacts on an individual's health and well-being has led to the acknowledgement of childhood adversity as a widespread public health crisis. The past several decades of scientific research have identified the biological mechanisms by which early adversity leads to an increased risk of negative health and social outcomes throughout a lifetime. ACEs contribute to high levels of toxic stress that derail healthy physical, social, emotional, and cognitive development. Because ACEs have been associated with various negative health conditions in adults, such as substance abuse and mental/emotional dysfunction, and because there are pre-existing conditions for these eventual sequelae, the early identification of ACEs can mitigate the impacts of adversity on health across the lifespan.