Referly is a re-designed, streamlined process for increasing access to remote care for vulnerable patient populations at the 3M general surgery clinic at San Francisco General Hospital. Vulnerable patients face barriers to accessing healthcare, including lost wages, childcare costs, and lack of transportation. After they arrive at the clinic, they face long wait times. Ultimately, ~50% of patients who present for consultation either do not need surgery or are currently poor candidates for surgery. Referly is a structured referral process for rapidly identifying patients who are currently poor surgical candidates and can be seen remotely, respecting patients’ time and improving clinic efficiency.