diff --git a/.env b/.env
index f6a3868..d6cb984 100644
--- a/.env
+++ b/.env
@@ -25,7 +25,7 @@ VITE_URL = http://localhost:3000
 VITE_USER = alice
 VITE_HOOK_TO_SEND = patient-view
 VITE_URL_FILTER = http://localhost:3000/*
-VITE_USE_INTERMEDIARY = false
+VITE_USE_PRESCRIBER_INTERMEDIARY = false
 VITE_USE_PHARMACY_IN_PREFETCH = true
 VITE_INTERMEDIARY = http://localhost:3003
 VITE_DISABLE_MEDICATION_STATUS = false
diff --git a/README.md b/README.md
index 34a248f..9e86b65 100644
--- a/README.md
+++ b/README.md
@@ -133,7 +133,7 @@ Following are a list of modifiable paths:
 | VITE_SMART_LAUNCH_URL                                 | `http://localhost:4040/`                                                                             | The base url of the SMART app. This is used for opening the app directly, rather than doing an EHR SMART launch.                     |
 | VITE_URL                                              | `http://localhost:3000`                                                                              | The base url of this app.  Should be modified if the port or domain change.                     |
 | VITE_USER                                             | `alice`                                                                                              | The default user to login as when opening the app.                      |
-| VITE_USE_INTERMEDIARY                                 | false                                                                                                | When true, the app will send all CDS Hooks and REMS ETASU check calls to the intermediary defined in VITE_INTERMEDIARY.                      |
+| VITE_USE_PRESCRIBER_INTERMEDIARY                                 | false                                                                                                | When true, the app will send all CDS Hooks and REMS ETASU check calls to the intermediary defined in VITE_INTERMEDIARY.                      |
 | VITE_INTERMEDIARY                                     | `http:/localhost:3030`                                                                              | The base url of the intermediary.                      |
 | VITE_USE_PHARMACY_IN_PREFETCH                         | true                                                                                                 | When true, the app will send pharmacy information to the rems admin in the CDS Hooks prefetch                     |
 | VITE_PHARMACY_ID                                     | `pharm0111`                                                                              | The pharmacy ID to use in the CDS Hooks Prefetch                      |
diff --git a/package-lock.json b/package-lock.json
index 3b1e505..2436815 100644
--- a/package-lock.json
+++ b/package-lock.json
@@ -9784,16 +9784,6 @@
         "node": ">=0.6"
       }
     },
-    "node_modules/binary-extensions": {
-      "version": "2.2.0",
-      "resolved": "https://registry.npmjs.org/binary-extensions/-/binary-extensions-2.2.0.tgz",
-      "integrity": "sha512-jDctJ/IVQbZoJykoeHbhXpOlNBqGNcwXJKJog42E5HDPUwQTSdjCHdihjj0DlnheQ7blbT6dHOafNAiS8ooQKA==",
-      "optional": true,
-      "peer": true,
-      "engines": {
-        "node": ">=8"
-      }
-    },
     "node_modules/bl": {
       "version": "4.1.0",
       "resolved": "https://registry.npmjs.org/bl/-/bl-4.1.0.tgz",
@@ -10322,31 +10312,6 @@
         "node": "*"
       }
     },
-    "node_modules/chokidar": {
-      "version": "3.6.0",
-      "resolved": "https://registry.npmjs.org/chokidar/-/chokidar-3.6.0.tgz",
-      "integrity": "sha512-7VT13fmjotKpGipCW9JEQAusEPE+Ei8nl6/g4FBAmIm0GOOLMua9NDDo/DWp0ZAxCr3cPq5ZpBqmPAQgDda2Pw==",
-      "optional": true,
-      "peer": true,
-      "dependencies": {
-        "anymatch": "~3.1.2",
-        "braces": "~3.0.2",
-        "glob-parent": "~5.1.2",
-        "is-binary-path": "~2.1.0",
-        "is-glob": "~4.0.1",
-        "normalize-path": "~3.0.0",
-        "readdirp": "~3.6.0"
-      },
-      "engines": {
-        "node": ">= 8.10.0"
-      },
-      "funding": {
-        "url": "https://paulmillr.com/funding/"
-      },
-      "optionalDependencies": {
-        "fsevents": "~2.3.2"
-      }
-    },
     "node_modules/chownr": {
       "version": "2.0.0",
       "resolved": "https://registry.npmjs.org/chownr/-/chownr-2.0.0.tgz",
@@ -13794,13 +13759,6 @@
         "node": ">=16.x"
       }
     },
-    "node_modules/immutable": {
-      "version": "4.3.5",
-      "resolved": "https://registry.npmjs.org/immutable/-/immutable-4.3.5.tgz",
-      "integrity": "sha512-8eabxkth9gZatlwl5TBuJnCsoTADlL6ftEr7A4qgdaTsPyreilDSnUk57SO+jfKcNtxPa22U5KK6DSeAYhpBJw==",
-      "optional": true,
-      "peer": true
-    },
     "node_modules/import-fresh": {
       "version": "3.3.0",
       "resolved": "https://registry.npmjs.org/import-fresh/-/import-fresh-3.3.0.tgz",
@@ -13985,19 +13943,6 @@
         "url": "https://github.com/sponsors/ljharb"
       }
     },
-    "node_modules/is-binary-path": {
-      "version": "2.1.0",
-      "resolved": "https://registry.npmjs.org/is-binary-path/-/is-binary-path-2.1.0.tgz",
-      "integrity": "sha512-ZMERYes6pDydyuGidse7OsHxtbI7WVeUEozgR/g7rd0xUimYNlvZRE/K2MgZTjWy725IfelLeVcEM97mmtRGXw==",
-      "optional": true,
-      "peer": true,
-      "dependencies": {
-        "binary-extensions": "^2.0.0"
-      },
-      "engines": {
-        "node": ">=8"
-      }
-    },
     "node_modules/is-boolean-object": {
       "version": "1.1.2",
       "resolved": "https://registry.npmjs.org/is-boolean-object/-/is-boolean-object-1.1.2.tgz",
@@ -15410,214 +15355,6 @@
       "optional": true,
       "peer": true
     },
-    "node_modules/lightningcss": {
-      "version": "1.24.0",
-      "resolved": "https://registry.npmjs.org/lightningcss/-/lightningcss-1.24.0.tgz",
-      "integrity": "sha512-y36QEEDVx4IM7/yIZNsZJMRREIu26WzTsauIysf5s76YeCmlSbRZS7aC97IGPuoFRnyZ5Wx43OBsQBFB5Ne7ng==",
-      "optional": true,
-      "peer": true,
-      "dependencies": {
-        "detect-libc": "^1.0.3"
-      },
-      "engines": {
-        "node": ">= 12.0.0"
-      },
-      "funding": {
-        "type": "opencollective",
-        "url": "https://opencollective.com/parcel"
-      },
-      "optionalDependencies": {
-        "lightningcss-darwin-arm64": "1.24.0",
-        "lightningcss-darwin-x64": "1.24.0",
-        "lightningcss-freebsd-x64": "1.24.0",
-        "lightningcss-linux-arm-gnueabihf": "1.24.0",
-        "lightningcss-linux-arm64-gnu": "1.24.0",
-        "lightningcss-linux-arm64-musl": "1.24.0",
-        "lightningcss-linux-x64-gnu": "1.24.0",
-        "lightningcss-linux-x64-musl": "1.24.0",
-        "lightningcss-win32-x64-msvc": "1.24.0"
-      }
-    },
-    "node_modules/lightningcss-darwin-arm64": {
-      "version": "1.24.0",
-      "resolved": "https://registry.npmjs.org/lightningcss-darwin-arm64/-/lightningcss-darwin-arm64-1.24.0.tgz",
-      "integrity": "sha512-rTNPkEiynOu4CfGdd5ZfVOQe2gd2idfQd4EfX1l2ZUUwd+2SwSdbb7cG4rlwfnZckbzCAygm85xkpekRE5/wFw==",
-      "cpu": [
-        "arm64"
-      ],
-      "optional": true,
-      "os": [
-        "darwin"
-      ],
-      "peer": true,
-      "engines": {
-        "node": ">= 12.0.0"
-      },
-      "funding": {
-        "type": "opencollective",
-        "url": "https://opencollective.com/parcel"
-      }
-    },
-    "node_modules/lightningcss-darwin-x64": {
-      "version": "1.24.0",
-      "resolved": "https://registry.npmjs.org/lightningcss-darwin-x64/-/lightningcss-darwin-x64-1.24.0.tgz",
-      "integrity": "sha512-4KCeF2RJjzp9xdGY8zIH68CUtptEg8uz8PfkHvsIdrP4t9t5CIgfDBhiB8AmuO75N6SofdmZexDZIKdy9vA7Ww==",
-      "cpu": [
-        "x64"
-      ],
-      "optional": true,
-      "os": [
-        "darwin"
-      ],
-      "peer": true,
-      "engines": {
-        "node": ">= 12.0.0"
-      },
-      "funding": {
-        "type": "opencollective",
-        "url": "https://opencollective.com/parcel"
-      }
-    },
-    "node_modules/lightningcss-freebsd-x64": {
-      "version": "1.24.0",
-      "resolved": "https://registry.npmjs.org/lightningcss-freebsd-x64/-/lightningcss-freebsd-x64-1.24.0.tgz",
-      "integrity": "sha512-FJAYlek1wXuVTsncNU0C6YD41q126dXcIUm97KAccMn9C4s/JfLSqGWT2gIzAblavPFkyGG2gIADTWp3uWfN1g==",
-      "cpu": [
-        "x64"
-      ],
-      "optional": true,
-      "os": [
-        "freebsd"
-      ],
-      "peer": true,
-      "engines": {
-        "node": ">= 12.0.0"
-      },
-      "funding": {
-        "type": "opencollective",
-        "url": "https://opencollective.com/parcel"
-      }
-    },
-    "node_modules/lightningcss-linux-arm-gnueabihf": {
-      "version": "1.24.0",
-      "resolved": "https://registry.npmjs.org/lightningcss-linux-arm-gnueabihf/-/lightningcss-linux-arm-gnueabihf-1.24.0.tgz",
-      "integrity": "sha512-N55K6JqzMx7C0hYUu1YmWqhkHwzEJlkQRMA6phY65noO0I1LOAvP4wBIoFWrzRE+O6zL0RmXJ2xppqyTbk3sYw==",
-      "cpu": [
-        "arm"
-      ],
-      "optional": true,
-      "os": [
-        "linux"
-      ],
-      "peer": true,
-      "engines": {
-        "node": ">= 12.0.0"
-      },
-      "funding": {
-        "type": "opencollective",
-        "url": "https://opencollective.com/parcel"
-      }
-    },
-    "node_modules/lightningcss-linux-arm64-gnu": {
-      "version": "1.24.0",
-      "resolved": "https://registry.npmjs.org/lightningcss-linux-arm64-gnu/-/lightningcss-linux-arm64-gnu-1.24.0.tgz",
-      "integrity": "sha512-MqqUB2TpYtFWeBvvf5KExDdClU3YGLW5bHKs50uKKootcvG9KoS7wYwd5UichS+W3mYLc5yXUPGD1DNWbLiYKw==",
-      "cpu": [
-        "arm64"
-      ],
-      "optional": true,
-      "os": [
-        "linux"
-      ],
-      "peer": true,
-      "engines": {
-        "node": ">= 12.0.0"
-      },
-      "funding": {
-        "type": "opencollective",
-        "url": "https://opencollective.com/parcel"
-      }
-    },
-    "node_modules/lightningcss-linux-arm64-musl": {
-      "version": "1.24.0",
-      "resolved": "https://registry.npmjs.org/lightningcss-linux-arm64-musl/-/lightningcss-linux-arm64-musl-1.24.0.tgz",
-      "integrity": "sha512-5wn4d9tFwa5bS1ao9mLexYVJdh3nn09HNIipsII6ZF7z9ZA5J4dOEhMgKoeCl891axTGTUYd8Kxn+Hn3XUSYRQ==",
-      "cpu": [
-        "arm64"
-      ],
-      "optional": true,
-      "os": [
-        "linux"
-      ],
-      "peer": true,
-      "engines": {
-        "node": ">= 12.0.0"
-      },
-      "funding": {
-        "type": "opencollective",
-        "url": "https://opencollective.com/parcel"
-      }
-    },
-    "node_modules/lightningcss-linux-x64-gnu": {
-      "version": "1.24.0",
-      "resolved": "https://registry.npmjs.org/lightningcss-linux-x64-gnu/-/lightningcss-linux-x64-gnu-1.24.0.tgz",
-      "integrity": "sha512-3j5MdTh+LSDF3o6uDwRjRUgw4J+IfDCVtdkUrJvKxL79qBLUujXY7CTe5X3IQDDLKEe/3wu49r8JKgxr0MfjbQ==",
-      "cpu": [
-        "x64"
-      ],
-      "optional": true,
-      "os": [
-        "linux"
-      ],
-      "peer": true,
-      "engines": {
-        "node": ">= 12.0.0"
-      },
-      "funding": {
-        "type": "opencollective",
-        "url": "https://opencollective.com/parcel"
-      }
-    },
-    "node_modules/lightningcss-linux-x64-musl": {
-      "version": "1.24.0",
-      "resolved": "https://registry.npmjs.org/lightningcss-linux-x64-musl/-/lightningcss-linux-x64-musl-1.24.0.tgz",
-      "integrity": "sha512-HI+rNnvaLz0o36z6Ki0gyG5igVGrJmzczxA5fznr6eFTj3cHORoR/j2q8ivMzNFR4UKJDkTWUH5LMhacwOHWBA==",
-      "cpu": [
-        "x64"
-      ],
-      "optional": true,
-      "os": [
-        "linux"
-      ],
-      "peer": true,
-      "engines": {
-        "node": ">= 12.0.0"
-      },
-      "funding": {
-        "type": "opencollective",
-        "url": "https://opencollective.com/parcel"
-      }
-    },
-    "node_modules/lightningcss-win32-x64-msvc": {
-      "version": "1.24.0",
-      "resolved": "https://registry.npmjs.org/lightningcss-win32-x64-msvc/-/lightningcss-win32-x64-msvc-1.24.0.tgz",
-      "integrity": "sha512-oeije/t7OZ5N9vSs6amyW/34wIYoBCpE6HUlsSKcP2SR1CVgx9oKEM00GtQmtqNnYiMIfsSm7+ppMb4NLtD5vg==",
-      "cpu": [
-        "x64"
-      ],
-      "optional": true,
-      "os": [
-        "win32"
-      ],
-      "peer": true,
-      "engines": {
-        "node": ">= 12.0.0"
-      },
-      "funding": {
-        "type": "opencollective",
-        "url": "https://opencollective.com/parcel"
-      }
-    },
     "node_modules/lines-and-columns": {
       "version": "1.2.4",
       "resolved": "https://registry.npmjs.org/lines-and-columns/-/lines-and-columns-1.2.4.tgz",
@@ -19312,32 +19049,6 @@
         "safe-buffer": "~5.1.0"
       }
     },
-    "node_modules/readdirp": {
-      "version": "3.6.0",
-      "resolved": "https://registry.npmjs.org/readdirp/-/readdirp-3.6.0.tgz",
-      "integrity": "sha512-hOS089on8RduqdbhvQ5Z37A0ESjsqz6qnRcffsMU3495FuTdqSm+7bhJ29JvIOsBDEEnan5DPu9t3To9VRlMzA==",
-      "optional": true,
-      "peer": true,
-      "dependencies": {
-        "picomatch": "^2.2.1"
-      },
-      "engines": {
-        "node": ">=8.10.0"
-      }
-    },
-    "node_modules/readdirp/node_modules/picomatch": {
-      "version": "2.3.1",
-      "resolved": "https://registry.npmjs.org/picomatch/-/picomatch-2.3.1.tgz",
-      "integrity": "sha512-JU3teHTNjmE2VCGFzuY8EXzCDVwEqB2a8fsIvwaStHhAWJEeVd1o1QD80CU6+ZdEXXSLbSsuLwJjkCBWqRQUVA==",
-      "optional": true,
-      "peer": true,
-      "engines": {
-        "node": ">=8.6"
-      },
-      "funding": {
-        "url": "https://github.com/sponsors/jonschlinkert"
-      }
-    },
     "node_modules/readline": {
       "version": "1.3.0",
       "resolved": "https://registry.npmjs.org/readline/-/readline-1.3.0.tgz",
@@ -20083,24 +19794,6 @@
         "url": "https://github.com/sponsors/ljharb"
       }
     },
-    "node_modules/sass": {
-      "version": "1.71.1",
-      "resolved": "https://registry.npmjs.org/sass/-/sass-1.71.1.tgz",
-      "integrity": "sha512-wovtnV2PxzteLlfNzbgm1tFXPLoZILYAMJtvoXXkD7/+1uP41eKkIt1ypWq5/q2uT94qHjXehEYfmjKOvjL9sg==",
-      "optional": true,
-      "peer": true,
-      "dependencies": {
-        "chokidar": ">=3.0.0 <4.0.0",
-        "immutable": "^4.0.0",
-        "source-map-js": ">=0.6.2 <2.0.0"
-      },
-      "bin": {
-        "sass": "sass.js"
-      },
-      "engines": {
-        "node": ">=14.0.0"
-      }
-    },
     "node_modules/sax": {
       "version": "1.2.4",
       "resolved": "https://registry.npmjs.org/sax/-/sax-1.2.4.tgz",
@@ -22240,20 +21933,6 @@
         }
       }
     },
-    "node_modules/vite-tsconfig-paths/node_modules/typescript": {
-      "version": "5.4.2",
-      "resolved": "https://registry.npmjs.org/typescript/-/typescript-5.4.2.tgz",
-      "integrity": "sha512-+2/g0Fds1ERlP6JsakQQDXjZdZMM+rqpamFZJEKh4kwTIn3iDkgKtby0CeNd5ATNZ4Ry1ax15TMx0W2V+miizQ==",
-      "optional": true,
-      "peer": true,
-      "bin": {
-        "tsc": "bin/tsc",
-        "tsserver": "bin/tsserver"
-      },
-      "engines": {
-        "node": ">=14.17"
-      }
-    },
     "node_modules/vite/node_modules/postcss": {
       "version": "8.5.5",
       "resolved": "https://registry.npmjs.org/postcss/-/postcss-8.5.5.tgz",
diff --git a/src/components/RequestDashboard/SettingsSection.jsx b/src/components/RequestDashboard/SettingsSection.jsx
index 15bc014..4fb5200 100644
--- a/src/components/RequestDashboard/SettingsSection.jsx
+++ b/src/components/RequestDashboard/SettingsSection.jsx
@@ -158,6 +158,21 @@ const SettingsSection = props => {
       }
     };
 
+  const clearIntermediaryHookSessions =
+    ({ intermediaryUrl }) =>
+    async () => {
+      console.log('Clearing intermediary hook sessions');
+      try {
+        const response = await fetch(`${intermediaryUrl}/api/sessions/clear`, {
+          method: 'POST'
+        });
+        const result = await response.json();
+        console.log(`Cleared ${result.deletedCount} session(s)`);
+      } catch (error) {
+        console.log('Failed to clear intermediary sessions:', error);
+      }
+    };
+
   const reconnectEhr =
     ({ baseUrl, redirect }) =>
     () => {
@@ -469,6 +484,11 @@ const SettingsSection = props => {
       key: 'resetRemsAdmin',
       reset: resetRemsAdmin
     },
+    {
+      display: 'Clear Intermediary Hook Sessions',
+      key: 'clearIntermediaryHookSessions',
+      reset: clearIntermediaryHookSessions
+    },
     {
       display: 'Clear EHR In-Progress Forms',
       key: 'clearQuestionnaireResponses',
diff --git a/src/util/data.js b/src/util/data.js
index 3204719..87c0a81 100644
--- a/src/util/data.js
+++ b/src/util/data.js
@@ -12,9 +12,9 @@ const headerDefinitions = {
     default: env.get('VITE_PHARMACY_ID').asString() || 'pharm0111'
   },
   useIntermediary: {
-    display: 'Use Intermediary',
+    display: 'Use Prescriber Intermediary',
     type: 'check',
-    default: env.get('VITE_USE_INTERMEDIARY').asBool()
+    default: env.get('VITE_USE_PRESCRIBER_INTERMEDIARY').asBool()
   },
   usePharmacyIntermediary: {
     type: 'check',