The entire healthcare system has been thrust towards a more virtual delivery model, including site-less virtual clinical trial recruitment. In this case study, a five-stage process is illustrated in which a 1,000-patient virtual clinical trial was completed in just seven months, and at a cost which was 30% lower than traditional site- based recruitment. Participants were located, educated and navigated through a successful multi-step virtual clinical trial for an at home colon screening test. Overall, the trial achieved a timeline from the first participant to final analysis in about six months, followed by dataset review and analysis completed in just 5 days.