Critical approaches to Spanish heritage language (SHL) pedagogy have called for more meaningful engagement with heritage language communities (Leeman, 2005). In a recent survey, furthermore, SHL students expressed a desire for more community-based activities in SHL curricula (Beaudrie, Ducar, & Relano-Pastor, 2009). This paper reports on the outcomes of a community-based SHL program for medical purposes. SHL college students majoring in biology, nursing and other health-related programs participated in a semester-long mini-internship in a community health center serving indigent patients in Hidalgo County, Texas. Faculty and clinic staff collaborated to create an integrated experience for the students. The experience was assessed through a reflection questionnaire completed by the students. An analysis of the assessment data suggests that students emerged from the experience with a heightened commitment to Spanish language maintenance, an expanded bilingual range, and an understanding and respect for language variation in Spanish. (Contains 1 table and 2 notes.)