PURPOSE: Lung cancer screening (LCS) program launched December 2013 at an academic and community health care system. However, LCS uptake has been less than expected. Furthermore, we experienced a large number of screening exams ordered but never completed. This may be due to both provider and patient unawareness of screening eligibility and reimbursement. In an effort to improve awareness and uptake of lung cancer screening, we tested the following hypothesis: Offering accurate lung cancer screening information directly to patients will result in more eligible patients being offered screening than usual care.