Promoting Equity for Cancer Screening and Follow-up

Inclusion Criteria:

* Adults, between 50 to 75 years old.
* Due for colorectal cancer screening based on not having a record of a colonoscopy within 10 years, sigmoidoscopy, or CT colonography within 5 years, mt-sDNA within 3 years, or FIT within 1 year.
* Asymptomatic for colorectal cancer such as rectal bleeding or reported abdominal mass.

Exclusion Criteria:

* For the intervention study, patients will be restricted to those aged 50 to 75 years and are due for colorectal cancer screening.
* We will exclude any patient who has:
* Had prior colonoscopy within 10 years, sigmoidoscopy within 5 years, mt-sDNA within 3 years, CT colonography within 5 years, and FOBT/FIT within twelve months of inclusion into the study;
* A diagnosis of CRC or other GI cancer;
* History of confirmed Inflammatory Bowel Disease (Crohn's disease, ulcerative colitis) or other colitis;
* Had a colectomy, partial or total;
* A diagnosis of Lynch Syndrome;
* A diagnosis of Familial Adenomatous Polyposis (FAP);
* Iron deficiency anemia;
* Lower GI bleeding;
* A metastatic (Stage IV) blood or solid tumor cancer;
* End stage renal disease;
* A first degree relative with CRC prior to age 50 or 2+ first degree relatives diagnosed at any age.