Genetic Testing for All Breast Cancer Patients (GET FACTS)

Inclusion Criteria * Patients with a new breast cancer diagnosis (invasive or in-situ) considering genetic testing * Patients with good understanding of written and spoken English * Patients with apparent cognitive capacity to make surgical decisions for themselves * Patients who are medically cleared for surgery * Patients must be at least age 18 but under 79 Exclusion Criteria * Previous breast cancer diagnosis (invasive or DCIS) * Metastatic breast cancer * Patients who have received prior broad-based panel testing (prior BRCA1/2 testing with negative results allowed) * Bilateral breast cancer * Known medical or surgical contraindication to contralateral mastectomy * Hematologic malignancy necessitating skin biopsy/fibroblast culture for germline genetic testing malignancy other than cervical cis or basal or squamous cell skin cancers.