A pilot study of 32 older adults found that at-home digital cognitive screening achieved a 78.5% completion rate when administered 1-4 weeks before primary care visits. Performance on the remote assessments showed moderate correlation with standard Montreal Cognitive Assessment scores obtained in clinical settings, and participants generally preferred home-based testing over in-clinic evaluation. This approach represents a potentially transformative shift in dementia screening as healthcare systems grapple with aging populations and mounting cognitive assessment demands. Remote cognitive testing could dramatically expand screening accessibility while reducing clinic burden, particularly valuable given that early cognitive changes often go undetected in routine care. However, the sub-optimal completion rate suggests technical barriers remain for some older adults, potentially creating health equity concerns if certain populations struggle with digital interfaces. The small sample size and lack of longitudinal follow-up limit broader applicability. As a preprint awaiting peer review, these preliminary findings require validation in larger, more diverse cohorts before implementation. The feasibility data offers encouraging proof-of-concept for integrating digital cognitive tools into routine geriatric care workflows.