Sexual and reproductive health (RH) are defined by The World Health Organization (WHO) as, "physical, emotional, mental, and social well-being in relation to sexuality", and is an integral part of a person's overall wellness (WHO, 2006). In Multnomah County, the Student Health Services located in high schools aim to meet and improve adolescents' RH; however, Student Health Services had low RH services and resource utilization from Asian and Pacific Islander (API) adolescents, despite increasing API population in Multnomah County school districts. In efforts to increase RH service utilization by API adolescents, Multnomah County Health Department completed an online needs assessment survey of APIs in the community. Based off the needs assessment results and literature review, this project focused on improving API adolescent healthcare experiences through the development of a culturally competent, trauma informed, RH history tool. Further work could include further validating the needs assessment results with a larger sample size, or focusing intervention efforts to address RH education and resource awareness.