Procedures are investigated by which nonlinear finite element shell analysis algorithms can be simplified to provide more cost effective approximate analyses of orthogonally-reinforced concrete flat plate structures. Two alternative effective stiffness formulations, and an unbalanced force formulation, are described. These are then implemented into a nonlinear shell analysis algorithm. Nonlinear geometry, three-dimensional layered stress analyses, and other general formulations are bypassed to reduce the computational burden. In application to standard patch test problems, these simplified approximate analysis procedures are shown to provide reasonable accuracy while significantly reducing the computational effort. Corroboration studies using various simple and complex test specimens provide an indication of the relative accuracy of the constitutive models utilized. The studies also point to the limitations of the approximate formulations, and identify situations where one should revert back to full nonlinear shell analyses.