Discussions about controlled substance medications can cause distress because patients may feel frustrated and abandoned as practice changes, while providers struggle with the responsibility of safely managing symptoms. This distress can negatively impact the therapeutic relationship, lead to high levels of provider burn-out and distress, and contribute to patient dissatisfaction. This quality improvement (QI) project details the development of a CSRC including coordinating interested participants and formalizing logistics for case referral and review process at a metropolitan nonprofit community health organization. The aim of this QI project was to provide clinical support for challenging cases involving CS treatment planning through a committee of interprofessional staff offering individualized evidence-based recommendations and resources.