Adolescent patients often do not seek regular, preventive healthcare visits because they are essentially healthy. This makes it difficult to promote preventive healthcare with this population. New interventions are needed. This project sought to determine if use of a prompting tool improved coverage of health promotion topics with adolescent patients. The design was an intervention study using a pre and post chart review of adolescent patients seen in a rural family practice clinic. The intervention was a health promotion prompting tool, which included six key topic areas: alcohol/drug use; injury/violence; tobacco use; nutrition; physical activity and sexual risk behaviors. The results of this project found that the prompting tool can improve coverage of health promotion and disease prevention topics.