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 realize this may be early in your journey, but please know we are here for you. Please complete the form to the best of your ability as your situation stands now. If you don’t have the information, please leave it blank. Once you have submitted the form, we will find a sister survivor who best matches your criteria and provide you with her contact information. And if you haven’t already, please join our Facebook group HERE.





    Date of Birth*

    Marital Status






    Kids Ages


    Date of Diagnosis

    Number of Tumors


    Size of Tumors (separate each with a comma)

    Type of Cancer

    DCISLCISInvasive Ductal Carcinoma (IDC)Invasive Lobular Carcinoma (ILC)Inflammatory Breast Cancer (IBC)



    Receptor Status:

    ER+ (Estrogen positive)ER- (Estrogen negative)PR+ (Progesterone positive)PR- (Progesterone negative)Her2+Her2-

    Oncotype DX # (if tested)

    Surgery Type

    Single MastectomyBilateral MastectomyLumpectomy



    Hormone Therapy

    TamoxifenArimidex (anastrozole)Aromasine (exemastane)Femara (letrozole)

    Type of Reconstruction

    Flat (no reconstruction)Tissue expander/implantDirect to implantLatissimus dorsi flapTRAM flapDIEP flap



    BRCA 1 Positive


    BRCA 2 Positive


    Metastatic Disease


    Metastatic Disease (If Yes, Where?)


    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)


    Additional Comments (if any)

    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.