The Great Plains Telehealth Resource & Assistance Center provided telemedicine screenings at the Minnesota State Fair, where over 1.5 million people attend annually. Over 500 fairgoers were screened using teledermatology and pulmonary function testing, with over 30% referred for further evaluation. Physicians conducted nearly 600 screenings over 18 telemedicine sessions, averaging 27 screenings per hour. The telehealth demonstrations provided an important public service by screening for diseases and encouraging medical follow-up, while also educating about telehealth benefits. A patient later thanked the program for detecting and removing a cancerous mole that saved their life.