Eligible participants are automatically enrolled in this project. We are unable to enroll participants upon request.  Inclusion criteria:  Veteran Assigned to a primary care provider at the VA Puget Sound as of January 1, 2021 At least 1 year of prior data available (evidence of at least one outpatient visit) Due for annual colorectal (CRC) screening  Exclusion criteria:  Not scheduled for either a screening or diagnostic colonoscopy within the 12 weeks from assessment. Not currently receiving hospice care No record of recent death in the administrative data. No history of CRC or history of prior colectomy.