Mailed Fecal Immunochemical Test (FIT) Online Courses

What to know

These tools help partners implement mailed fecal immunochemical test (FIT) programs.

Mailed Fecal Immunochemical Test (FIT)


Colorectal cancer screening is a powerful tool to help lower people's risk of cancer. Colorectal cancer screening can detect cancer early, when treatment is most effective. It can also prevent the disease by removing abnormal growths—called polyps—in the colon or rectum, before cancer develops. Although the US Preventive Services Task Force recommends colorectal cancer screening for all adults aged 45 to 75, three out of every 10 adults in this age group are not getting screened as recommended.

In 2019, CDC and the National Association of Chronic Disease Directors brought together leading health care and public health experts to discuss how mailed fecal immunochemical test (FIT) programs could improve colorectal cancer screening rates nationwide. The meeting paved the way for tools to help partners put successful mailed FIT programs into action to save more lives.


  • The Mailed FIT Implementation Guide provides a detailed roadmap for designing, carrying out, and evaluating a mailed FIT program.
  • The Mailed FIT Implementation Online Course Workbook supplements the Mailed FIT Implementation Guide with step-by-step activities and checklists to help gather and organize information needed to start a mailed FIT outreach program.
  • The Mailed FIT Online Courses are a series of 10 self-paced training videos, led by subject matter experts, that cover important considerations for starting a mailed FIT program.
  • Three testimonial videos provide tips and strategies from clinics that have successfully implemented mailed FIT programs.