A pilot study assessed whether clinicians at an urban college health center met the reproductive needs (emergency contraception and contraception) of students. Physicians and nurse practitioners completed a 5-item survey about prescribing emergency contraception and contraception. Clinician prescribing practices varied, which may have resulted in contraceptive needs (for some students) not being met in a timely manner. Clinicians had different understandings of policies about prescribing contraceptives when on-call, when students called in, and for students who had graduated. Education and policies about handling EC and contraception requests are necessary so that clinicians meet students' reproductive health needs.