This project implemented routine screening for Somatic Symptom Disorders (SSD) in a reverse integration clinic (that is, primary care incorporated into a mental health center). The purpose of the screening was twofold: first, to explore the prevalence of somatization in this particular clinical setting; and second, to identify patients who might benefit from enhanced care for treating high symptom burden and/or health anxiety. Screening was conducted for new enrollees in a reverse integration setting over a six-month period. The screening found that in this setting, 57% of newly-enrolled patients who underwent screening endorsed high health anxiety, high symptom burden, or high levels of distress from their physical symptoms. Patients had high rates of co-occurring mental health diagnosis (including depressive disorders, post-traumatic stress disorder, and substance use disorders) and high rates of co-morbid medical issues (including pain, headaches, gastrointestinal disorders, and breathing problems).