Literature review indicated limited knowledge of established peer review process across primary care settings for behavioral health providers. Integrated Behavioral Health (IBH) at UCSD Health created a formative peer review system for the behavioral health providers by their peers with the goal of providing feedback on adherence to legal and ethical standards of care, the implementation of short-term therapies, consistency in documentation, and the use of departmental strategies for best practices including measurement-based care and open notes initiative. This presentation will demonstrate each iteration of the review process as well as the rationale for the changes made to improve the peer review process. The presenters will engage attendees in exploring how they may develop and utilize a formative peer review system in their practice settings.