Background: Sexual orientation and gender identity (SOGI) collection is a critical step in beginning to address health disparities among lesbian, gay, bisexual and transgender patients. Most community health centers are facing significant challenges in implementing SOGI data collection in a systematic way and face struggles with electronic health records that inadequately convey information logically and appropriately. Methods: Community Health Center Inc. (CHC), one of the largest federally qualified health centers in New England, implemented a standardized approach to collecting SOGI information on all patients who receive healthcare at CHC beginning September 1, 2016. The workflow and standardization were finalized after addressing issues including content of the SOGI questionnaire, timing and process of collection, appropriate staff who could administer SOGI, staff training, input in the electronic health records and accessibility and transparency of information to appropriate staff, and discrepancies between name and gender on insurance and those provided by patient. Results: After about 6 months of implementation, over 30,000 patients across the agency had SOGI collected, about 80% of patients with a medical visit in that timeframe. Breakdown of SOGI results will be presented. Lessons learned and attitudes and experiences of staff and patients will be discussed. Documented impact of SOGI data utilization on some of our most vulnerable patients will be reviewed. Conclusions: SOGI collection can be successfully implemented at community health centers. Identifying and addressing challenges prior to agency wide adoption are critical in achieving success. Benefits to patient care are unequivocally positive.