Sisterhood

Match Me with a Sister

You don't have to walk this path alone.

Tell Us About Yourself

We'll use this information to match you with a Sister Survivor who has been through a similar experience. The more detail you provide, the better match we can find. Someone will contact you within 72 hours.

    Contact Information

    First and Last Name *

    Email *

    Phone *

    Address

    Street *

    City *

    State *

    Zip Code *

    County *

    Date of Birth *

    Marital Status
    SingleMarriedDivorcedWidowed

    Which of the following best describes you?*

    Do you have children?
    YesNo

    Kids Ages
    0-55-1010-1515+

    Diagnosis Information

    Date of Diagnosis *

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

    Stage
    01234

    Number of Tumors
    123+

    Size of Tumors (separate each with a comma)

    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

    Chemotherapy
    YesNo

    Radiation
    YesNo

    Hormone Therapy
    TamoxifenArimidex (anastrozole)Aromasine (exemastane)Femara (letrozole)Not Applicable

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

    BRCA 1 Positive
    YesNoN/A

    BRCA 2 Positive
    YesNoN/A

    Metastatic Disease
    YesNo

    Metastatic Disease (If Yes, Where?)
    LungLiverBrainBone

    Preferred method of communication
    TextCallEmail

    Additional Comments

    Sisterhood Match 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.

    Breast Connect, Inc. 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.

    After my diagnosis, a fellow survivor recommended Breast Connect. The supportive community meant everything, along every step in the journey. Now that I've become a Sister Match, I'm able to pay it all forward — and that is healing in itself.
    Wendy H.

    Not ready to be matched? Join our private Facebook Group to connect at your own pace.

    Available nationwide.