This presentation and panel discussion will teach the audience how to increase same day access in integrated care through the use of an online referral form on Microsoft Teams Chat and hybrid virtual/in person care. In an effort to increase access to same-day services across the 11 locations, the STL PCHI program implemented an online notification form available in Microsoft Teams. The goals of the form included: increase ease of referral for busy primary care providers, increase engagement of PCMHI providers working virtually, equal distribution of warm hand-offs across the team of psychologists, and monitoring of response time to PCP requests. The form has proven to distribute work across each location, allows for team support during high demand days and/or provider absence, and increased communication among PCMHI providers regarding nuances of clinical care and sharing information about VA and community resources, and provision of immediate emotional support for providers facing challenging clinical situations. The implementation of this form is one of the major factors contributing to VISN leading same-day access numbers at the St. Louis VAMC as well as low employee turnover rates relative to specialty care clinics.