Rule #1: Don't reinvent the wheel.

These are the things we recommend to speed the process along: Ask for input from key decision makers at the outset. Ask for input from the people who will be using the form, particularly patients. Highlight on the revised form the content that is different from the previous version. This way it is quicker for the decision-makers to read and they don't have to rehash what is already successfully in use. "Hand-walk" the form from person to person to obtain approval signatures. There are few things that are worse to lose in interoffice mail!