In many settings, patients are not seeking care in traditional, office-based settings. This session will focus on the why and how of providing care outside the clinic walls, starting with meeting patients where they are. We will discuss manner of service delivery, appropriateness of different locations, level of clinical services that can be offered, and address issues including safety, situational awareness, language, and appearance. Discussion of integrated services will include the importance to overall health and wellbeing of linking medical/behavioral health care to services that address shelter/housing, food insecurity, financial wellbeing. Tenets that will be described include housing first, trauma-informed care, patient-centered service delivery, and harm reduction (not strictly related to substance use). We will explain different methods of introducing new street/campsite/shelter medicine programs to communities, and ways of building trust with reticent patient populations, sometimes starting with addressing social determinants of health as an introduction to medical/behavioral health care.