ColonCancerCheck Resource Hub
This hub contains tools, resources and information for primary care providers and endoscopists involved in colorectal cancer screening, including:
- updated screening recommendations for people in Ontario including a lower screening start age and family history recommendations (launching on July 1, 2026)
- post-polypectomy surveillance recommendations
- resources to support high-quality colonoscopy procedures
Additional resources will be released on July 1, 2026.
Laboratory Services for Fecal Immunochemical Test (FIT) Testing
Starting on July 1, 2026, In-Common Laboratories (ICL) will manage the distribution and testing of the FIT in Ontario.
- Continue to send requests for FIT to LifeLabs until June 30, 2026.
- Start sending requests to ICL using the new FIT requisition on July 1, 2026.
- See the Frequently Asked Questions for Primary Care Providers for information on how to work with ICL, including account set-up and receiving FIT results.
- ICL provides medical laboratory testing and other patient care services. Read more about ICL.
New Fecal Immunochemical Test (FIT) Device and Return Information
Starting on July 1, 2026, a new FIT device will be included in the FIT kit. It looks similar to the previous FIT device except it has a purple twist-to-close cap to prevent leakage (instead of a snap closure).
Participants can still return their completed FITs by mail. A change is that drop off will be available at Rexall locations. For more information visit iclabs.ca/FIT/locations.
The new FIT instructions are available in the next section.
Resources for Health Care Providers
| Resource | Description | Target Audience |
|---|---|---|
| Cover letters Primary care providers cover letter Endoscopists cover letter Hospitals cover letter |
Information on key changes to ColonCancerCheck. | Primary care providers Endoscopists Hospitals |
| Fecal immunochemical test (FIT) requisition form | This is the only requisition that you can use to order a FIT in the ColonCancerCheck program. Do not use the Ministry of Health laboratory requisition form. Add the form to your list of available test request forms in your electronic medical record (EMR) or ask your EMR vendor about creating the form in your EMR. |
Primary care providers |
| FIT requisition form instructions | Guidance on how to complete each section of the FIT requisition form. | Primary care providers |
| ColonCancerCheck Guide to Colorectal Cancer (CRC) Screening in Ontario | A two-page reference guide on ColonCancerCheck screening recommendations. | Primary care providers Endoscopists |
| Frequently asked questions (FAQs) for primary care providers | Primary care-focused answers to questions about changes to ColonCancerCheck. There are also general program FAQs. | Primary care providers |
| Frequently asked questions (FAQs) for endoscopists | Gastrointestinal (GI) endoscopy-focused answers to questions about changes to ColonCancerCheck. There are also general program FAQs. | Endoscopists |
| Updated FIT instructions for participants (English) Updated FIT instructions for participants (French) |
Instructions that help screening participants complete their FIT at home. The instructions have been updated for the new FIT device and will be mailed to participants along with the FIT kit starting July 1, 2026. The instructions will be available online in additional languages at launch. | Primary care providers (for awareness) Participants |
Gastrointestinal (GI) Endoscopy Quality
If you have any questions about the GI endoscopy quality resources, please email ColonCancerCheck.
Guidance for Facilities or Providers Performing FIT-Positive Colonoscopies
| Resource | Description | Target Audience |
|---|---|---|
| Coming soon: Fecal Immunochemical Test (FIT)-Positive Colonoscopy: Facility-Level Guidance | Provides guidance on how to plan, deliver and manage quality for timely, safe, high-quality FIT-positive colonoscopies at the regional, facility and endoscopist levels. | Hospitals, out-of-hospital premises and integrated community health services centres that provide gastrointestinal endoscopy services Endoscopists |
Polypectomy resources
| Resource | Description | Target Audience |
|---|---|---|
| Post-Polypectomy Recommendations | Evidence-based recommendations for post-polypectomy surveillance, including a full report, a summary and a quick-reference tool outlining recommended follow-up tests and surveillance intervals based on colonoscopy findings. | Primary care providers Hospitals, out-of-hospital premises and integrated community health services centres that provide gastrointestinal endoscopy services Endoscopists |
| Complex Polyps Adjudication Referral Form | A sample template that regions or facilities may use to refer for polyp adjudication. | Hospitals, out-of-hospital premises and integrated community health services centres that provide gastrointestinal endoscopy services Endoscopists |
Frequently asked questions (FAQs)
| Resource | Description | Target Audience |
|---|---|---|
| GI Endoscopy Funding: FAQs for Endoscopists | Answers to questions about gastrointestinal endoscopy funding for regions and hospitals. | Hospitals, out-of-hospital premises and integrated community health services centres that provide gastrointestinal endoscopy services Endoscopists |