Eligible participants are automatically enrolled in this project. We are unable to enroll participants upon request.  Inclusion Criteria:  Veterans 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 CRC screening  Exclusion Criteria:  Not scheduled for either a screening or diagnostic colonoscopy within the following 12 weeks from assessment. No indication of current receipt of hospice care or record of recent death in the administrative data. No personal history of CRC or history of prior colectomy.