diff --git a/extensions/elation/README.md b/extensions/elation/README.md
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--- a/extensions/elation/README.md
+++ b/extensions/elation/README.md
@@ -12,3 +12,61 @@ In order to use this extension you will need to provide the extension with the f
 - Client Secret for OAuth2 Password authentication
 - API Username for OAuth2 Password authentication
 - API Password for OAuth2 Password authentication
+
+## Actions
+
+The following actions are supported with Elation today:
+
+### Create Patient
+
+Create a patient in the EHR. **Does not look for duplicates**
+
+Required fields include:
+- First Name
+- Last Name
+- Date of Birth (YYYY-MM-DD)
+- Sex (Male, Female, Other, Unknown)
+- Primary Physician (the ID of the physician, which you will be able to retrieve using the [Find Physicians](https://docs.elationhealth.com/reference/find-physicians) API call, or by using the `Find Physician` action)
+- Caregiver Practice (the ID of the practice. Again, you can find using the same API call or action as listed above)
+
+There are also a number of optional fields.
+
+**NOTE: We currently do not support nested objects, so the entire patient object supported by elation's API is not yet exposed**. Please reach out to us if you're looking to add a particular field or set of fields. 
+
+### Get Patient
+
+Using a patient identifier, get a patient object that has all datapoints listed above in `Create Patient`.
+
+**NOTE: Because we don't yet support nested objects and arrays in extensions, we expose specifically the `mobile_phone` field, which is a search for the patient's mobile phone specifically.**
+
+### Update Patient
+
+Update a patient using any fields available in create patient.
+
+Oddly enough, the following fields are always required by Elation:
+- first_name
+- last_name
+- dob
+- sex
+- primary_physician
+- caregiver_practice
+
+![Postman request](./assets/elation-update-patient.png?raw=true "Bad Update Patient Request")
+
+### Create Appointment
+
+Create a patient appointment in your EHR for a given practice and physician.
+
+Creating an appointment requires a few strings to be well-formulated:
+- `Scheduled date` must be a datetime string (ISO-8601). For example, January 1, 2023 at noon, Pacific Time (-8 hours) would be shown as such: `2023-01-01T12:00:00.000-08:00`
+- `Reason` must not be free text. This value comes from the following list of appointment types (`Follow-Up`, `Office Visit`, `Physical Exam`, etc.):
+![Appointment types](./assets/elation-appointment-reason.png?raw=true "Elation Appointment Types")
+- `Patient` is the patient ID.
+- `Physician` is the physician ID (see `Find Physician`)
+- `Practice` is the practice ID (again, see `Find Physician`)
+
+You can also include a duration (default to 15 minutes, or whatever has been set in your EHR)
+
+### Get Appointment
+
+Get an appointment using an appointment ID. View all of the fields supported by the API.
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