Inclusion Criteria:

Provider Eligibility. Primary care providers (MD, CRNP, or PA) at the study sites who see
patients in the primary care setting at least 1 day per week and had no involvement in the
design of the study are eligible for enrollment in the study.

Patient Eligibility. Primary care patients who are not "up-to-date" with colorectal cancer
screening are the targeted population for study enrollment. Up-to-date with colorectal
cancer screening is defined as having completed one of the following: (1) fecal occult
blood testing within the past year; (2) sigmoidoscopy within the past 5 years; (3)
colonoscopy within the past 10 years; or (4) barium enema within the past 5 years. Other
patient eligibility criteria are: (1) PCP enrolled in the study; (2) clinic visit
scheduled with the enrolled PCP during the recruitment period; (3) age 50-74 years; (4)
English speaking; (5) no prior history of colorectal cancer or adenomatous polyps; and (6)
no prior history of inflammatory bowel disease.

Exclusion Criteria:

Patients who are deemed clinically not appropriate for colorectal cancer screening due to
severe comorbidity and/or limited life expectancy as determined by the patient's primary
care provider will be excluded from the study.