Inclusion Criteria:  Patient has diagnosis of idiopathic pulmonary fibrosis Patient has GAP (gender, age, physiology) index score ≥ 4 Patient is established in interstitial lung disease clinic (i.e., has had at least 1 previous clinic visit)  Exclusion Criteria:  Patient lacks fluency in English sufficient to complete study surveys Patient is already seeing palliative care or enrolled in hospice NEST score <10 at baseline T1