Collecting sensitive patient information, including data related to Sexual Orientation and Gender Identity (SOGI), is a critical part of operations for many health centers, especially FQHCs. Though required by many funding and reporting systems, for example, Ryan White HIV/AIDS Program Services, integrating how to capture these data in respectful and consistent ways may be a challenge. Based on experience from an FQHC in Washington, DC with special expertise in LGBTQ+ and HIV Care, the process of training staff and implementing SOGI data-related workflows will be described, including subsequent measurement and Quality Improvement initiatives. Details include examples of registration forms, staff training materials, EMR workflows, and patient-facing resources. The importance of creating affirming spaces to help support effective medical care was also discussed.