Mailed FIT Inclusion Criteria:  Patient had an office visit within the last 12 months at one or more of your health centers. (Use Uniform Data System [UDS] criteria for an office visit.) Not up to date with colorectal cancer screening according to the standard UDS query Male or Female 50 - 75 years old Current VALID address in San Diego or Riverside Counties (addresses with a PO box or General Delivery are acceptable) Valid Phone Number Insured patients only (e.g., Medicare, Medi-Cal, or private insurance)  Exclusion Criteria:  Absence of a phone number listed in the Electronic Health Record/Electronic Medical Record (EMR) Absence of a valid mailing address (e.g. blank field) Uninsured Patients with a diagnosis or past history of total colectomy or colorectal cancer per UDS criteria. Duplicate patients within a health center organization. (If a patient was seen at multiple locations within the past year, only include the patient in the sample for the site where the patient was seen last)  Care Coordination for Abnormal FIT results, add the following to the inclusion criteria:  Completion of a FIT for Colorectal Cancer Screening during the designated time period Abnormal FIT result received and documented in EMR during the designated time period