F2F Virtual Hangout

Meets second Wednesday of the month at 9PM ET | 8PM CT | 6PM PT

Come one, come all! This general Virtual Hangout is meant to replicate our in-person Face2Face support networks. Each meeting is topic-driven by a peer lead and open to any person diagnosed with breast cancer age 40 and under.

Please click 'yes' if you were diagnosed with breast cancer at a younger age.

YesNo

First Name

Last Name

Address

City

US State

Zip Code

Country

Birth date

MM/DD/YYYY

Date of Primary Diagnosis

MM/DD/YYYY

What is your primary language? We ask this so we can better understand the needs of our community and to inform future programs.

What is your secondary language?

Yes, I'd like to receive YSC resources and news!

Privacy Opt In

By clicking, you consent to Young Survival Coalition's Privacy Policy and Terms of Service.

Agreement of Confidentiality

The confidentiality of your health information is important to the Young Survival Coalition. As a Virtual Hangout Participant, you will be heard by other members in the group.

In the Virtual Hangout, you should only share information you are comfortable sharing. There is no requirement to share personal medical information. By checking the 'Agreement' box below, you acknowledge that you may choose to discuss personal information related to your condition in a support group setting and acknowledge that the facilitators do not have control of how others in the group do or do not protect your information. By checking the box below, you also agree to respect the confidentiality of the other members of the group by not revealing medical or any other identifying information after the session is over, and that you will not hold the Young Survival Coalition or facilitators responsible for any breach of confidentiality committed by other members of the group.

Agreement:

I UNDERSTAND AND AGREE WITH THE STATEMENT OF CONFIDENTIALITY and confirm that I have been diagnosed with breast cancer.

Please reach out to YSC at [email protected] with any additional questions.

Contact Information

Virtual Hangouts Toggle Virtual Hangouts accordion

F2F Virtual Hangout