Staten Island PPS launched a new app and program that helps connect individuals and families to health and social service resources. The Social Determinant of Health App and program were launched on July 1, 2019 with 19 PPS partner organizations. With the help of social service agencies, partners in the community and local government will connect individuals in need to local services, allow for follow-up to “close the loop” of the referral and feed responses to the electronic health record of the client. The data collected from this program will help determine the most pressing health factors affecting Staten Island neighborhoods. The tool can be adapted to any locality with tailored referrals within specific community. This program will allow for immediate impact on Staten Island residents’ health but also develop information on where resources and services need to be expanded to prevent the cycle from continuing for themselves and others.