Problem: An internal medicine clinic with over 300 diabetic patients reported diabetic retinopathy screening rates of 44%, below the national benchmark of 55%. Untreated retinopathy can lead to vision loss, affecting quality of life. Evidence shows handheld non-mydriatic cameras offer reliable screening comparable to ophthalmology referrals. Purpose: The purpose of this quality improvement project was to promote annual retinopathy screening for diabetic patients in the outpatient setting by providing on-site screening with a teleretinal nonmydriatic camera. Methods: A 15-week screening program was implemented for clinic patients attending diabetes education courses. Those found eligible for screening on-site received educational flyers. Patients with new vision changes, medications affecting pupil dilation, or preexisting retinopathy were not eligible for on-site screening. The project lead attended sessions to educate patients on the importance of retinopathy screening and reviewed charts to confirm screening eligibility. Orders were placed for patients interested in on-site screening by the lead medical assistant, and screening was available during each education session attended. Key stakeholders included the site manager, lead medical assistant, nutritionist, and quality care director. Results: Of 25 patients enrolled in diabetes education, 15 were eligible for screening. Nine were ordered on-site screenings, six completed them, two were screened off-site, and four declined on-site screening, opting for ophthalmologist visits. By project end, 67% of patients in education classes had completed annual screenings, exceeding the clinic’s average of 44%. Conclusion: Targeted education increased patient motivation for retinopathy screening, whether on-site or off-site with ophthalmologists. Educational materials and real-time diabetes discussions have the potential to increase screening rates. Ongoing education and offering on-site screenings to all patients should be prioritized.