Lung cancer screening is a preventative measure that has proven to reduce cancer-related mortality. Although the benefits of lung cancer screening have been proven in select populations per the U.S. Preventative Services Task Force (USPSTF) guideline criteria, there is still a significant underuse of this preventative screening tool across the country. Lung cancer affects all populations but has been known to disproportionately affect the Native American community. This quality improvement project served to increase the identification of individuals at risk for lung cancer in a Native American, rural clinic.