Inclusion Criteria:  Veterans enrolled in one of three VA medical centers:  1) VA Boston Healthcare System 2) Corporal Michael J. Crescenz VA Medical Center (Philadelphia) 2) Ralph H. Johnson VA Medical Center (Charleston) Veterans with, or at risk for, cardiovascular disease (CVD) who had at least 1 PC visit in the prior year  CVD patients are defined as those with International Classification of Disease 10 (ICD10) diagnoses indicating:  coronary artery disease cerebrovascular disease peripheral artery disease Patients at-risk for CVD are defined as having diagnoses of hypertension, diabetes mellitus (DM), or hyperlipidemia  Exclusion Criteria:  Impaired decision-making Illiterate or have limited or no English proficiency