Following consent, the Research Team will call participants three times in the first month (within the first week of signing consent at week 2 and repeated at week 3) and then one time per month for the following two months with scripted messaging reminding the participant to complete the screening activity (colonoscopy or fecal test). Interpreter services via phone will be utilized for non-English speaking participants.

Following consent, scripted messaging will be sent three times in the first month (within the first week of signing consent at week 2 and repeated at week 3) and then once time per month for the following two months with scripted messaging reminding the participant to complete the screening activity (colonoscopy or fecal test). Digital prompts will be available in Spanish and English.

Scripted messaging to remind subjects to complete their colorectal screening (colonoscopy or fecal test)

To determine the effectiveness of digital reminders versus telephone reminders to prompt participants to follow through with completing their colonoscopy. Comparison of the success or failure of digital versus phone call reminders will be measured. To determine the effectiveness of digital reminders versus phone reminders to follow through with completing fecal testing to screen for colorectal cancer. Comparison of the success or failure of digital versus phone call reminders will be measured.

Which colorectal screening intervention is preferred in the target population: Colonoscopy versus occult fecal testing in the targeted population

• Out comes will be measured by:
• Percentage rates of which screening method is selected by the participant: colonoscopy vs. fecal testing.
• Percentage rates for following through with completing the screening colonoscopy versus occult fecal testing in the targeted population