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The Cancer Genetic Risk Assessment program at Ascension St. Vincent is working with ConnectMyVariant to make sure that those with hereditary cancer risk have long-term help to reach out to all at-risk relatives. Through ConnectMyVariant you can get personalized support from a Family Outreach Navigator and be connected with others who have the same genetic variant. All ConnectMyVariant activities are free for you. When you sign up below, ConnectMyVariant will contact you to offer assistance. All activities are voluntary. You can choose what you want to do and engage with relatives at your own pace. If you navigate away from this page to explore the ConnectMyVariant site, please use the original link to sign up to make sure that you are signing up through our department.

The Ascension St. Vincent Cancer Genetics Risk Assessment program is not responsible for data supplied to ConnectMyVariant or use of their website.

First Name

Last Name

Email

Phone (optional)

Do you have a mutation or variant in a disease risk gene in your family?

YesNo

Are you interested in exchanging your contact information with people in other families who have the same variant? If you select “Yes”, we will share first name and email with others with the same variant.

YesNo

What is your family's gene and variant gene with c. or p.? (optional)

If you do not know the variant details, you can upload a photo of your test report (optional)

In what language do you want us to speak with or write to you? (optional)

How do you identify your race, ethnicity, tribal affiliation, country of origin or ancestry? (optional)

Where do you live? [City, State/Province, Country] (optional)

How did you find out about ConnectMyVariant? (optional)

Are you interested in a navigator helping you with family outreach (optional)

YesMaybe, tell me more about this.No

Are you interested in being contacted about research projects related to your variant? You will be asked about participating in specific projects before being included in research. (optional)

YesNo

Comments or feedback (optional)

Terms and conditions

I have read and agree with this contract

I agree