The investigators will examine the proportion of participants that book an appointment, proportion of new diagnoses for CKD, creatinine tests and/or albuminuria tests, proportion of participants that looked for more information after receiving the text message. The investigators will examine these metrics 6 months after all of the text messages have gone out \~8,637. The investigators will examine difference in conditions between the metrics listed above in the DV section. The investigators will compare the two conditions to each other, as well as to the group who does not receive a text message. The investigators will conduct a series of chi square tests/logistic regressions to examine the differences.