# Integrate with extensions
URL: https://docs.awellhealth.com/docs/connect-systems/integrate-with-extensions

> For the complete documentation index, see [llms.txt](https://docs.awellhealth.com/llms.txt).





Extensions connect Awell to electronic health record (EHR) systems, communication providers, form
providers, e-signature services and more, with far less work than configuring the API calls by hand.

Browse what exists in the [Marketplace](/docs/marketplace), or
[build a new one](/docs/extensions) to connect a homegrown app.

## Install an extension [#install-an-extension]

1. Go to the **Integrations** page in the Awell platform.
2. Open the **Extensions** tab.
3. Click **Install** on an extension.
4. Enter the required settings and click **Install** again.

<img alt="The Extensions tab under Integrations, listing the extensions installed for the organization" src="__img0" />

Once installed, an extension is available across every care flow in the organization.

## Third-party accounts stay with the organization [#third-party-accounts-stay-with-the-organization]

For integrations with third-party services, the organization creates and manages its **own account**
with that provider, so it keeps full control and visibility over outgoing traffic, including cost and
content.

## Installing adds custom actions and webhooks [#installing-adds-custom-actions-and-webhooks]

Custom actions are new action types that talk directly to the third-party service. A care flow uses
them like any other action, with no API call to configure.

Many extensions can also receive events from the third-party service through webhooks, so something
happening there advances the care flow. See [Automate with events](/docs/automate-with-events).

## Prefer an extension, fall back to an API call action [#prefer-an-extension-fall-back-to-an-api-call-action]

* **Extension** when one exists for the target system, since there's less to configure and maintain.
* An [API call action](/docs/connect-systems/the-api-call-action-graphql-and-rest) when nothing prebuilt
  fits, or when a care flow needs a specific call the extension doesn't expose.

## Next steps [#next-steps]

**Next:** [Awell and Healthie](/docs/connect-systems/awell-healthie), a worked example of connecting a
real EMR (electronic medical record) system.