Summary of Findings: This article examines the effectiveness of adoption/utilization of an electronic consultation (eConsult) service by primary care providers (PCPs) using a “delegate model,” through which referral clerks manage requests on behalf of PCPs, thereby reducing PCPs’ administrative burden. The integration of eConsult capability into existing clinic operations was successful in that it allowed the PCPs to request eConsult using a familiar process, avoiding the challenges associated with adopting a new and unfamiliar technology.