Developed by the Michigan Center for Rural Health and Michigan Department of Health and Human Services Diabetes and Kidney Unit, this toolkit provides practical strategies to help Rural Health Clinics expand diabetic retinopathy screening, streamline workflows, and reduce patient barriers. Whether you're launching a new screening program or refining an existing process, this guide offers flexible, step-by-step tools to help your care team deliver high-quality, guideline-based care to rural Michigan communities.