Fort Bragg is the largest military installation in the world by population, hosting 10% of the active-duty Army forces. The Defense Health Agency (DHA) is the largest healthcare system in the US and serves the diverse population of US citizens that comprise the Armed Forces. Local data from Fort Bragg show its cervical cancer screening compliance rates are well below the Healthy People 2030 target of 84%, and compliance has been slowly decreasing on post over the past decade. Furthermore, text messages are not a standard practice for preventive health measures within the DHA, and there are few published studies on cervical cancer screening interventions among soldiers. To increase cervical cancer screening compliance, Fort Bragg Department of Public Health and Womack Army Medical Center partnered with the University of North Carolina Lineberger Comprehensive Cancer Center in 2024 to implement a series of pilot studies. These pilot studies focus on implementing and evaluating the use of text messages within a large, DHA primary care clinic on Fort Bragg. Importantly, Fort Bragg Department of Public Health employed an innovative use of a text messaging platform previously only used on Fort Bragg for inclement weather and installation closure announcements. In the first small pilot study, service women (n=56) who were 21-64 years old and overdue for their cervical cancer screenings were randomized to receive either 4 text message reminders (intervention group) or 3 calls from a nurse or medic (standard of care group). Each touchpoint reminded the women to schedule their overdue cervical cancer screening. Those in the text message group received a brief text that included 1) notification of overdue status for cervical cancer screening, 2) patient education about the importance of cervical cancer screening, and 3) contact information for central booking with instructions on how to schedule their own Well Woman appointment. Results of this pilot showed that service women in the text messaging group were 2.6 times more likely to complete their cervical cancer screening when compared to service women who received standard of care phone calls. Additionally, we found that text messaging reminders were 86% cheaper to implement on post than standard of care calls on post. A larger pilot is currently being conducted with 300-400 service women on Fort Bragg to understand additional predictive factors for successful scheduling of cervical cancer screening among this diverse population. We are also testing length of text messages to understand if additional health education messaging affects appointment uptake. Based on these results, text message reminders may be a feasible, effective, and low-cost way to increase cervical cancer screening compliance within a military healthcare system. These reminders may enable service members to take ownership of their own health maintenance and could be implemented within DHA to reach patients overdue for other cancer screenings as well.