diff --git a/.env b/.env
index 75e6c54..2b9c27f 100644
--- a/.env
+++ b/.env
@@ -24,5 +24,6 @@ VITE_RESPONSE_EXPIRATION_DAYS = 30
 VITE_SERVER = http://localhost:8090
 VITE_SMART_LAUNCH_URL = http://localhost:4040/
 VITE_URL = http://localhost:3000
-VITE_URL_FILTER = http://localhost:3000/*
 VITE_USER = alice
+VITE_HOOK_TO_SEND = patient-view
+VITE_URL_FILTER = http://localhost:3000/*
diff --git a/src/components/RequestDashboard/SettingsSection.jsx b/src/components/RequestDashboard/SettingsSection.jsx
index 0c8b010..46058a4 100644
--- a/src/components/RequestDashboard/SettingsSection.jsx
+++ b/src/components/RequestDashboard/SettingsSection.jsx
@@ -1,11 +1,12 @@
-import React, { memo, useState, useEffect } from 'react';
+import React, { memo, useEffect } from 'react';
 import {
-  Box,
   Button,
   Checkbox,
   FormControlLabel,
+  FormControl,
   Grid,
   IconButton,
+  InputLabel,
   Paper,
   Select,
   MenuItem,
@@ -28,7 +29,7 @@ import { headerDefinitions, medicationRequestToRemsAdmins } from '../../util/dat
 import { actionTypes, initialState } from '../../containers/ContextProvider/reducer';
 import { SettingsContext } from '../../containers/ContextProvider/SettingsProvider';
 
-const CDS_HOOKS = ['order-sign', 'order-select', 'patient-view'];
+const CDS_HOOKS = ['order-sign', 'order-select', 'patient-view', 'encounter-start'];
 
 const SettingsSection = props => {
   const [state, dispatch] = React.useContext(SettingsContext);
@@ -251,6 +252,33 @@ const SettingsSection = props => {
                   </Grid>
                 </React.Fragment>
               );
+            case 'dropdown':
+              return (
+                <React.Fragment key={key}>
+                    <Grid key={key} item xs={6}>
+                      <FormControl fullWidth>
+                        <InputLabel id="dropdown-label">Hook to send when selecting a patient</InputLabel>
+                        <Select
+                            labelId="dropdown-label"
+                            id="dropdown"
+                            value={state[key]}
+                            label="Hook to send when selecting a patient"
+                            onChange={event => updateSetting(key, event.target.value)}
+                            sx={{ width: '100%' }}
+                          >
+                            <MenuItem key='paitent-view' value='patient-view'>
+                              patient-view
+                            </MenuItem>
+                            <MenuItem key='encounter-start' value='encounter-start'>
+                              encounter-start
+                            </MenuItem>
+                        </Select>
+                      </FormControl>
+                      
+                    </Grid> 
+                </React.Fragment>
+                
+              )
             default:
               return (
                 <div key={key}>
diff --git a/src/containers/RequestBuilder.jsx b/src/containers/RequestBuilder.jsx
index ca53471..375bbc1 100644
--- a/src/containers/RequestBuilder.jsx
+++ b/src/containers/RequestBuilder.jsx
@@ -117,7 +117,7 @@ const RequestBuilder = props => {
 
 
   useEffect(() => {
-    const hook = 'patient-view';
+    const hook = globalState.hookToSend;
 
     let remsAdminUrls = [];
     // get all the remsAdminUrl for each MedicationRequest
diff --git a/src/util/data.js b/src/util/data.js
index d308619..708cd46 100644
--- a/src/util/data.js
+++ b/src/util/data.js
@@ -75,6 +75,11 @@ const headerDefinitions = {
     display: 'REMS Admin Server',
     type: 'input',
     default: env.get('VITE_SERVER').asString()
+  },
+  hookToSend: {
+    display: 'Send hook on patient select',
+    type: 'dropdown',
+    default: env.get('VITE_HOOK_TO_SEND').asString()
   }
 };
 
@@ -85,7 +90,8 @@ const medicationRequestToRemsAdmins = Object.freeze([
     hookEndpoints: [
       { hook: 'order-sign', remsAdmin: 'http://localhost:8090/cds-services/rems-order-sign' },
       { hook: 'order-select', remsAdmin: 'http://localhost:8090/cds-services/rems-order-select' },
-      { hook: 'patient-view', remsAdmin: 'http://localhost:8090/cds-services/rems-patient-view' }
+      { hook: 'patient-view', remsAdmin: 'http://localhost:8090/cds-services/rems-patient-view' },
+      { hook: 'encounter-start', remsAdmin: 'http://localhost:8090/cds-services/rems-encounter-start' }
     ]
   },
   {
@@ -94,7 +100,8 @@ const medicationRequestToRemsAdmins = Object.freeze([
     hookEndpoints: [
       { hook: 'order-sign', remsAdmin: 'http://localhost:8090/cds-services/rems-order-sign' },
       { hook: 'order-select', remsAdmin: 'http://localhost:8090/cds-services/rems-order-select' },
-      { hook: 'patient-view', remsAdmin: 'http://localhost:8090/cds-services/rems-patient-view' }
+      { hook: 'patient-view', remsAdmin: 'http://localhost:8090/cds-services/rems-patient-view' },
+      { hook: 'encounter-start', remsAdmin: 'http://localhost:8090/cds-services/rems-encounter-start' }
     ]
   },
   {
@@ -103,7 +110,8 @@ const medicationRequestToRemsAdmins = Object.freeze([
     hookEndpoints: [
       { hook: 'order-sign', remsAdmin: 'http://localhost:8090/cds-services/rems-order-sign' },
       { hook: 'order-select', remsAdmin: 'http://localhost:8090/cds-services/rems-order-select' },
-      { hook: 'patient-view', remsAdmin: 'http://localhost:8090/cds-services/rems-patient-view' }
+      { hook: 'patient-view', remsAdmin: 'http://localhost:8090/cds-services/rems-patient-view' },
+      { hook: 'encounter-start', remsAdmin: 'http://localhost:8090/cds-services/rems-encounter-start' }
     ]
   },
   {
@@ -112,7 +120,8 @@ const medicationRequestToRemsAdmins = Object.freeze([
     hookEndpoints: [
       { hook: 'order-sign', remsAdmin: 'http://localhost:8090/cds-services/rems-order-sign' },
       { hook: 'order-select', remsAdmin: 'http://localhost:8090/cds-services/rems-order-select' },
-      { hook: 'patient-view', remsAdmin: 'http://localhost:8090/cds-services/rems-patient-view' }
+      { hook: 'patient-view', remsAdmin: 'http://localhost:8090/cds-services/rems-patient-view' },
+      { hook: 'encounter-start', remsAdmin: 'http://localhost:8090/cds-services/rems-encounter-start' }
     ]
   }
 ]);
diff --git a/src/util/util.js b/src/util/util.js
index f494e61..663c039 100644
--- a/src/util/util.js
+++ b/src/util/util.js
@@ -104,7 +104,7 @@ const getMedicationSpecificRemsAdminUrl = (request, globalState, hook) => {
     return undefined;
   }
 
-  if (!(hook === 'patient-view' || hook === 'order-sign' || hook === 'order-select')) {
+  if (!(hook === 'patient-view' || hook === 'order-sign' || hook === 'order-select'  || hook === 'encounter-start')) {
     console.log(`ERROR: unknown hook type: ${hook}`);
     return undefined;
   }