Opt-In Versus Opt-Out for Colorectal Cancer Screening Outreach

Inclusion Criteria: * Between 50 to 74 years old * Has received care at the Division of Internal Medicine * Due for screening * Asymptomatic for colorectal cancer (CRC) Exclusion Criteria: * Has had prior colonoscopy within 10 years, sigmoidoscopy within 5 years, and fecal occult blood test (FOBT)/FIT within twelve months of the chart review (We will exclude patients who self-report undergoing any of the above procedures) * Has a history of CRC * Has a history of other GI cancer * Has history of confirmed Inflammatory Bowel Disease (IBD) (e.g. Crohn's disease, ulcerative colitis; Irritable bowel syndrome does not exclude patients) * Has history of colitis other than Crohn's disease or ulcerative colitis * Has had a colectomy * Has a relative that has been diagnosed with CRC * Has been diagnosed with Lynch Syndrome (i.e. HNPCC) * Has been diagnosed with Familial Adenomatous Polyposis (FAP) * Has iron deficiency anemia * Has history of lower GI bleeding * Has metastatic (Stage IV) blood or solid tumor cancer * Has end stage renal disease * Has cirrhosis * Has heart failure * Has dementia * Has any other condition that, in the opinion of the investigator, excludes the patient from participating in this study