Colorectal Cancer Screening in a Community Health Setting

Inclusion Criteria: 1. Between 50 and 74 years old 2. Has active medical insurance 3. Has had had at least one visit at Health Annex in the prior 12 months (at time of chart review) 4. Due for CRC screening (no colonoscopy in last 10 years, sigmoidoscopy in last 5 years, or stool testing in last 1 year) 5. Asymptomatic for CRC Exclusion Criteria: 1. Has had prior colonoscopy within 10 years, sigmoidoscopy within 5 years, and FOBT/FIT within twelve months of the chart review (we will exclude patients who self-report undergoing any of the above procedures) 2. Has a history of CRC 3. Has a history of other GI cancer 4. Has history of confirmed Inflammatory Bowel Disease (IBD) (e.g. Crohns disease, ulcerative colitis) 5. Has a history of colon polyps 6. Has had a colectomy 7. Has a first-degree relative that has been diagnosed with CRC 8. Has been diagnosed with Lynch Syndrome (i.e. HNPCC) 9. Has been diagnosed with Familial Adenomatous Polyposis (FAP). 10. Has iron deficiency anemia 11. Has recent history of lower GI bleeding 12. Has metastatic (Stage IV) blood or solid tumor cancer 13. Has end stage renal disease 14. Has had congestive heart failure 15. Has dementia 16. Has liver cirrhosis 17. Has any other condition that, in the opinion of the investigator, excludes the patient from participating in this study 18. Does not use a mobile phone enabled to send and receive text messages