Small hospitals often employ registered dietitians on a monthly contract basis which means that the documentation of patient visitation is required of the dietary manager or appointed employees who have varied levels of training in nutrition. Screening efforts were evaluated in 7 south Georgia hospitals; <70 beds. The process included reviewing forms from all facilities, chart audits and interviews with the dietary managers. The following problems were identified: appearance of screening forms was poor and unprofessional, forms required a lot of writing, processing of forms was time consuming since the dietary managers had to make copies of completed forms before placing them on charts, dietary managers lacked confidence and knowledge in completing S-O-A-P format, lab values were not addressed on any of the forms, some forms asked inappropriate questions, <10% of patients were visited. The dietary managers were involved in the form review process and selected the following goals for form design: 1) easy to complete, 2) S-O-A-P format, 3) area on form to complete calculations, 4) lab values addressed, 5) duplicate. Using the Joint Commission Standards for documentation, a form was designed which was used by the managers on a trial basis prior to printing. Adjustments were made to the form using the input from the dietary managers and then printed in duplicate. The implementation of the screening form, which requires mostly checks or circles to complete, has resulted in the following positive changes: 1) increased documentation of patient visits, 2) pertinent information addressed, 3) complies with S-O-A-P format, 4) lab values addressed, 5) dietary employees other than the manager can easily be trained to use the form, 6) immediate placement of the form on the chart. A continuous quality improvement study has been issued to each of the facilities in order to monitor the adequacy of screening form completion. After using the forms for six months, all dietary managers independently reported patient screening as an area of improvement in their dietary department.