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ICARE logo You have been directed to this platform by the Inherited Cancer Registry (ICARE) initiative, highlighting our collaborative effort to support and empower you with valuable information. Through ConnectMyVariant you will gain access to valuable resources designed to help you reach out to relatives and find a community of others who have your genetic variant. By signing up, you consent to the sharing of your data with ICARE to enhance our collective understanding of how this resource benefits individuals like you.

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