The exploration of collaborative care between primary care providers and behavioral health provider for patients with depression was the quality improvement practice. The electronic medical records and depression screening of patients (n=51) in a rural primary care clinic were analyzed for accurate diagnosis of depression, increased depression screening for participants with chronic medical conditions, increased communication between the providers, and depressive symptoms improvement. The primary care clinic did not have a routine screening for depression. The results highlighted the need for collaborative care in the primary care clinic for patients with depression.