Aim 3, Optimizing CRC Screening in Patients With Diabetes in Safety-net Primary Care Settings

* Diagnosis of diabetes mellitus;

* Participants not up-to-date with CRC screening based on electronic health record (e.g. FOBT/FIT in last year; flexible sigmoidoscopy within four years; or colonoscopy within nine years);

* Age-eligible for CRC screening (50-74 years of age);

* Participants in process of undergoing screening are eligible for participation if they have a FIT/FOBT incomplete test ordered for more than six months or a sigmoidoscopy or colonoscopy referral not completed for greater than one year.

• Medical conditions not concordant with standard CRC screening intervals (e.g. prior CRC diagnosis, inflammatory bowel disease, renal failure, etc.).