i need a sister

“There is no family history of breast cancer in my family, so being matched with others diagnosed with the same type of breast cancer was invaluable to me. Breast Connect helped me get through a stressful time of making difficult treatment decisions.”

– Patricia Robledo  /  Knoxville, TN

Diagnosed October 2014

Need A Sister

Welcome to the Breast Connect Sisterhood Program. We are here for you. Please complete the form and we will find you a matching sister survivor. Once you have submitted a form, we will quickly find the volunteer sister survivor who best matches your criteria and provide you with her contact information. And if you haven’t already, please join our Facebook page at @breastconnect.

    Name*



    Email*



    Phone*



    Date of birth



    Marital Status
    MarriedDivorcedWidowedSingle





    Race
    CaucasianAfrican-AmericanHispanicOther





    Kids & Ages



    Date of Diagnosis



    Metastatic Disease (if yes, where?)
    YesNo


    Please choose five descriptions in which you would like to be matched.
    DCISReceptor: Estrogen PositiveReceptor: Her2 PositiveReceptor: Triple NegativeReceptor: Triple PositiveType of Surgery: LumpectomyType of Surgery: Mastectomy (Single)Type of Surgery: Mastectomy (Bilateral)Treatment: Estrogen Blocker (ex: Tamoxifen)Treatment: Aromatase Inhibitor (ex: Arimidex)Treatment: ChemoTreatment: Neoadjuvant ChemoTreatment: Herceptin and PerjetaTreatment: RadiationReconstruction: SingleReconstruction: DoubleReconstruction: Flap ProcedureBRCA PositiveMetastasis





    Communication (please let us know your preferred method of contact and add any additional comments regarding your diagnosis that would help us find an accurate match for you. Someone will contact you within 72 hours).

    Sister Survivor Disclaimer

    The Breast Connect Sisterhood matching service is provided for the benefit of new breast cancer patients, with no compensation to either party. All interactions resulting from the connection between you and your “sister match” are personal and at the discretion of the new patient and survivor sister. Breast Connect is held harmless from any and all interactions and decisions resulting from the match. You hereby release and agree to indemnify and hold harmless Breast Connect, Inc. and its members, officers, directors, employees, and agents from and against any and all claims, liabilities, and damages arising out of the sharing or storage of any information you provide to us and from the interactions with persons with whom you connect through Breast Connect, Inc.

     

    BreastConnect.org has not been established to sell healthcare, drive opinions, or be a persuasive source. By submitting a request to participate in the Breast Connect Sisterhood program, you are authorizing Breast Connect, Inc. to store your information in a database and, as appropriate, share the information you provide (including, without limitation, your name, medical diagnosis and contact information) with new patients seeking to participate in the Breast Connect sisterhood program.

    Testimonials

    “Breast Connect is a great asset for support & information!”
    “So extremely thankful for this group! You never feel alone!”
    “Keep up the good work!! Breast Connect is so important to all of us warriors!!”
    “A great and supportive community always striving to help others.”
    “Thank you for providing a community for us and a safe place to ask questions.”
    “I wish I had known about this group before I started cancer treatments.”
    “Breast Connect has been the positive part of Breast Cancer. It is such a supportive group.”