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Helpful Hints
Gather Your Medical Reports

Gather Your
Medical Reports

Have your medical reports on hand before you start.
 
Ask Your Care Provider

Ask Your Care Provider

Print out the Health History Form and ask your health care provider to help you.
 
Need More Information

Get Online Help

Use the "Learn More" links on the Health History Form for online help.
 
Work at Your Own Pace

Work at Your Own Pace

At any time, you can stop, save the answers you've provided, and then pick up where you left off.

it's easy to Get Started

Select your personal situation to begin matching to trials, or choose "Learn More" for additional information about the types of trials that are available.

I have not had breast cancer

I am healthy or at high risk for developing breast cancer.

You do not need to complete a Health History form. Click on Find Trials to see all open prevention trials.Learn More

I am newly diagnosed but haven't started treatment

I was recently diagnosed with ductal carcinoma in situ (DCIS) or stage I, stage II, or stage III breast cancer, but have not started treatment. Learn More
I'm newly diagnosed
This is my situation:
First Diagnosis
Recurrence
Second Diagnosis

I have recently started treatment

I have already had some treatment for ductal carcinoma in situ (DCIS) or stage I, stage II, or stage III breast cancer, but may need additional therapy. Learn More
I've recently started treatment
This is my situation:
First Diagnosis
Recurrence
Second Diagnosis

I am on hormone therapy after surgery

I have a hormone-sensitive tumor and I am on tamoxifen or an aromatase inhibitor. Learn More

I finished treatment

I have completed all of my breast cancer therapies. Learn More

I have metastatic (stage IV) disease

I have breast cancer that has spread from my breast to other parts of my body. Learn More