This report describes the health assessment, health promotion, and disease prevention practices of certified nurse-midwives (CNMs) working in ambulatory care settings. Survey questionnaires were sent to a stratified systematic random sample of American College of Nurse-Midwives (ACNM) members. Respondents were asked to identify the proportion of clients in their practices for whom certain health assessments and health promotion activities were routinely provided. Sixty-six percent of the targeted sample were eligible providers of ambulatory care and returned a completed questionnaire. Results indicate that CNMs meet or approach current national targeted goals for many health assessment and health promotion services. Areas for further improvement are discussed.