Your first consultation is with either a physician or nurse practitioner and can be in-person if you live within an hour of Vancouver or by phone if you live elsewhere in BC or the Yukon.

At the consultation, we review your personal health history and do a physical examination if in-person.

We review the cancer risks associated with your gene and discuss risk management options for each type of cancer.

If preventative surgery is an option and you are interested in this, we will refer you for a consultation with a surgeon in your own community.

If enhanced screening is recommended, these tests (such as mammograms or MRIs) will be ordered for you in your own community if they are available locally. If you need referrals to other specialists for screening (for example for intestinal cancers or skin cancers) we will arrange these if your primary care provider hasn't already done so.

We will discuss medication for cancer risk reduction if it is an option and prescribe these drugs if you wish to take them. 

‎In general, you will have a follow up visit every year unless you've had preventative mastectomies (breast removal) or develop a new cancer and are referred to an oncologist (cancer specialist). 

If you've had a recent cancer diagnosis and are not going to be followed any longer by your oncologist we will see you every 6 months until 5 years after you have finished your cancer treatment, then yearly. 

Follow-up visits are generally with the nurse practitioner. At each follow up your health is reviewed, a physical examination is done, and the results of any screening tests completed since your last visit are reviewed. Then arrangements are made for screening tests or referrals for the upcoming year. 

After all visits, whether in person or by phone, a summary letter is sent to your primary care provider. You should see your primary care provider (or attend a walk in clinic if you do not have a primary care provider) if you have a new problem in between visits (like a breast lump or pain or discharge).