<Date>

< First Name> <Last Name>

< Address1>

<Address2>

<City>, <St> <Zip>

Dear < First Name> <Last Name>,

I recently reviewed your chart and it appears that your colorectal cancer screening is not up-to-date. This is concerning to me, as my goal is to not just treat cancer, but to spot it before it spreads.

Use this paragraph if provider has FIT or Cologuard kits to distribute to patients:

An easy way to get screened is to complete the test kit enclosed. The test kit only needs a small stool sample. Take the kit into your bathroom and follow the instructions the next time you have a bowel movement. Mail the completed kit within a day or two using the prepaid envelope. Please make every effort to complete the enclosed test this week. Call us if you have any questions about the instructions.

Use this paragraph if provider wants to encourage patients to complete Highmark's FIT kit:

You may have recently received a fecal immunochemical test (FIT) kit in the mail from a Highmark approved vendor, who is working with Highmark. I strongly encourage you to complete this test. The test requires only a small stool sample. Take the kit into your bathroom and follow the instructions the next time you have a bowel movement. Mail the completed kit within a day or two using the prepaid envelope. Please make every effort to complete the enclosed test this week. Call us if you have any questions about the instructions.

The gold standard recommendation is that men and women ages 50 and older get a colonoscopy every ten years. If you would prefer to do that, please call the office and we will assist you. A colonoscopy is usually done in an outpatient surgery center and requires fasting and drinking liquid to clean out your bowels. Because of these steps, we know this is not always the preferred option, which is why I am recommending an alternative.

I hope you will take this step and work with me. I want to help you stay healthy!

Sincerely,

<Physician Name>

<Title>

Enclosure - if kit sent to patient

Colorectal Cancer Screening Template - Providers can mail to patients

Practice Name and Logo

<Health Plan/Employer Logo>

Kem Snavely

2020-04-14

Butler, Sandy (Highmark Inc)

Quest Diagnostics