Amid the US opioid epidemic, providers and patients with acute and chronic pain are desperately searching for non-opioid or nonpharmacologic management options. A pilot pain coaching and education consultation service was developed by the Pain Assessment and Management Initiative (PAMI) at the University of Florida College of Medicine – Jacksonville and officially launched December 2020. This program is accompanied by a pain discharge tool cart filled with integrative pain management options. In this course, we will explain how the team navigated electronic medical record (EMR) charting and patient notification processes, developed a data collection system, educated multiple staff disciplines and specialties, and brought this coaching service to patients and providers in an urban academic medical center. We will share lessons learned and steps required to implement a program in an ED, trauma center, or hospital. Topics include developing a job description, hiring the right person, training and shadowing, working with IT analysts to develop a model EMR consult note template, communication and champion development with stakeholders, clinicians and administrators, tips for identifying patients, refining the coaching script and approach, development of patient education materials and toolkits, and formulation of a quality improvement program and data collection plan.