Web-based technology and peer support can be paired to create an enhanced medication visit that supports shared decision making between psychiatrists and people with psychiatric disabilities. The purpose of this paper is to describe an intervention to support recovery and shared decision making in the psychiatric medication visit. We will describe the CommonGround web application and a new role for peer staff in the medication clinic. Additionally, we will describe early adopters, patterns of use and lessons learned. Sources used include the application's database and observation of 8 sites using the web application with 4,783 users. Despite the constraints on the typical 15-minute medication consultation, it is possible to use technology and peer support to create an enhanced medication visit that supports shared decision making in the psychiatric medication visit.