01 · Upload & start
Type, paste, or upload — anything you have.
A pathology PDF. A phone photo of yesterday's labs. A list of symptoms from your notes app.
Before Treatment Starts
…and for every decision after
An AI-enabled cancer decision support system — for questions that get answered.
Walk into every cancer appointment with the questions ranked, the gaps surfaced, and the language your oncologist will answer.
For the person with seven tabs open at 11pm —
Cancer treatment has changed.
Many cancers can now be cured — or controlled for years — when treatment matches the biology. The match depends on what happens early. What happens early depends on the questions you ask.
Start from $20/month
Less than one co-pay. Less than $1 a day. For decisions that shape years of treatment.
Cancel anytime · one email · no questions asked
HIPAA-grade security architecture · your information stays private and encrypted
The questions don't stop, even when treatment is working.
My wife was diagnosed with Stage IV lung cancer in December 2022. Three years in, she's doing well — and at every monthly visit, you still wonder what you might be missing. Your care team is eager to help, but they have hundreds of patients. You have to know what to ask.
This showed me exactly what to bring up — about side effects, about monitoring. A clear map for what comes next.
Husband and caregiver
three years into his wife's Stage IV lung cancer treatment
You’ve been wondering if there’s something you should be asking.
There is.
Cancer care today involves more decisions, more dependencies, and more time-sensitive options than 15 minutes can hold — especially when the conversation isn’t structured.
And once certain windows close, they close for good.
- Biomarker testing came back — but as a spot panel, not full sequencing. The targeted therapy your tumor would have responded to was never tested for.
- The trial closes the day your first dose starts. Nobody mentioned it existed.
- Fertility isn’t on your mind today. It will be. The window closes the moment treatment begins.
- You mention the tingling. They say it’s expected. You don’t mention you can’t button your shirt anymore.
- The caregiver thinks they’ll figure it out later. Later happens in the ER.
- Nobody asks about scan timing. Progression is caught months too late.
Once treatment starts, those gaps compound. Every appointment moves forward — whether you ask the right questions or not.
Knowing what to ask is hard. Whether to ask at all can be even harder. Whether the doctor will think you’re being difficult. Whether they’ll feel second-guessed.
They won’t. Good doctors welcome sharp questions. Sharp questions make 15 minutes more productive, surface what’s different about your situation, and move you from standard treatment toward care that’s built for you.
Personalized care doesn’t come from better protocols. It comes from better questions.
“I walked in knowing what to ask. And walked out with a plan.”
You weren't supposed to figure this out alone.
Nobody handed you a manual. Nobody told you which decisions were time-sensitive, which test results to ask about, or what language your oncologist would actually answer in the room.
The medical system is built for momentum. You're learning an entirely new vocabulary, on no sleep, while making decisions that shape the next several years of your life. Appointments stack, treatments begin, plans get finalized — and that's mostly a good thing. But it means keeping up while everything moves, knowing which moments are worth pausing for, and asking questions that make the momentum work.
Most patients leave appointments with the same questions they walked in with — because nobody told them what to ask, or how, and when to pause and clarify before moving forward. That's a structural gap in how cancer care gets delivered.
That gap is what we built this for.
This is built for you if…
- You've been newly diagnosed and your first treatment decision is days away
- You're mid-treatment and a new decision just appeared
- You're caring for someone with cancer and want to be useful, not just present
- You've left an appointment wondering what you forgot to ask
- You've felt your questions getting deflected and didn't know why
- You want to walk in prepared, not anxious
Start from $20/month →
Cancel anytime · one email · no questions asked
What this looks like in real life
Your oncologist walks in like they've read your mind.
It's Tuesday at 10pm. Your appointment is Wednesday at 9.
You open the conversation. You upload your test results and describe what's been done, what's been proposed. The conversation — drawing on current published oncology literature — surfaces something nobody had mentioned: a biomarker test that may be relevant for you, for a targeted therapy approved just two weeks ago. Your hospital's protocol hasn't been updated yet — but the option exists.
Twenty minutes later, two documents are ready.
For you — a prioritized list of questions, in the exact language your care team will answer, with the items that need to be confirmed at this and every appointment.
For your oncologist — a clinical summary of where you are, what's changed, and what you came to discuss. You hand it to the nurse before your doctor walks in.
Your oncologist reads the brief on the way in. They already know why you're there. The first thing they say is, "These are good questions."
No five minutes of small talk. No last five minutes anxiously trying to fit in what you forgot. The 15 minutes go where they should — into the conversation you actually came for.
That knowledge becomes a question for your oncologist — one that asks them to pause and consider something beyond the standard plan. You walk in with the question. And the language to raise it.
You leave with answers. Not anxiety. Clarity and confidence.
Start from $20/month →
Cancel anytime · one email · no questions asked
Two phases · One navigator
Cancer care isn't one decision.
It's a sequence of them.
Built for both sides of the line — the decisions before treatment begins, and every decision that follows at every appointment after.
Phase 1 · Before Treatment Starts
Diagnosis to Day One.
The window between diagnosis and your first treatment is the most consequential in cancer care. Biomarker testing. Trial eligibility. Goals of care. Hard limits. Legal, financial, and employment decisions that close the moment treatment begins.
Phase 2 · During Treatment
Through every appointment that follows.
Treatment is a sequence of decisions, not a single one. Symptom thresholds. Dose modification questions. Whether the treatment is working. What to bring to your next visit, and the one after that.
Four real documents
What you walk out with.
Every conversation produces two documents — one for you, one for your oncologist. Four document types in all, each built from your specific clinical context, in the language your care team uses.
Decision Readiness Record
The exact questions to bring to your oncologist, written in language that gets answered. Action items across every domain — who to ask, what to say, why it matters now.
Patient Appointment Brief
A structured summary ready before the appointment. Your clinical context, your priorities, your goals of care, and the decisions still on the table.
Treatment Cycle Brief
What's happening, what's working, what's not. Captures functional impact in language your team can act on. Brought to every appointment in cycle.
Oncology Visit Brief
A clinical summary for this specific visit. Symptom timeline with functional anchors. Items for confirmation. The decision the patient is bringing today.
Start from $20/month →
Cancel anytime · one email · no questions asked
A walkthrough · 4 moments
A guided conversation. Four real documents.
02 · Real questions
Wondering what comes next? If all the tests are done?
Answers grounded in your specific tumor profile, hormone status, and stage — not generic information.
03 · Act today
The exact words to send via the patient portal — or to say at your next appointment.
Symptom thresholds and ready-to-send messages, so you never wonder how to phrase it.
04 · Documents to keep
Walk in prepared. Take it to the next appointment.
A personal record of what's working, what's not, and what you want to discuss next.
A clinical summary for your oncologist, ready before the next visit.
Your priorities and questions, phrased in your oncologist’s language.
Patient and clinician names redacted from real product screens for privacy.
Eight decision domains.
Across every phase of cancer care.
Whether you're preparing for your first treatment or two years into it, Before Treatment Starts structures the decisions that come up — drawn from current published oncology literature, with the specific language for every conversation that needs to happen.
01
Clinical Decisions
Biomarker testing · Clinical trials · Tumor board review · Fertility preservation · Treatment sequencing
02
Legal & Advance Care
Healthcare proxy · Advance directive · Goals of care
03
Financial & Insurance
Manufacturer assistance · Out-of-pocket forecasting · Appeals
04
Work & Income
FMLA timing · Disclosure decisions · Disability planning
05
Practical Logistics
Caregiver coverage · Transport to treatment · Daily life during cycles
06
People & Relationships
Telling kids · Spouse capacity · Support team roles
07
Mental Health & Emotional
Distress signals · Counseling access · Caregiver burnout
08
Information & Advocacy
Records access · Care team navigation · Question prioritization
Clinical decisions run for every patient. For everything else, you direct where we spend time.
Founding member rate · locked for the first 500 members
Founding member pricing
Two ways in. Same access.
Founding member rates are locked in for as long as you stay subscribed — even as pricing rises for new members.
Best value · two months free
Annual subscription
$200
/ year
Save $40 — two months free, locked at the founding-member rate.
- Full access — both phases, all four documents
- Return for every appointment, every decision
- Two months free vs. monthly
- Documents you generate are yours to keep
Monthly subscription
$20
/ month
Month-to-month. Cancel anytime, no commitment.
- Full access — both phases, all four documents
- Return for every appointment, every decision
- Locked at $20/month as long as you stay subscribed
- Documents you generate are yours to keep
Cancel anytime. Both plans are subscription-based — one email, no forms, no questions. Documents you've already generated stay yours.
"Built by a cancer caregiver and advocate who spent a life in oncology. The clinical evidence is drawn from published oncology literature, indexed continuously — when the science changes, the guidance changes. Built on HIPAA-grade security architecture: encrypted and private."
Shruti Agarwal, PhD
Founder · Together4Cancer® · 15 years inside oncology · caregiver to two of her own
The right treatment for your biology
depends on the right questions.
Eight decision domains. Both phases. Four real documents. A guided conversation you can return to at every appointment, every decision, every line of treatment.
Frequently asked questions
Why a subscription?+
Cancer care isn't one decision. It's a sequence of them — across appointments, across cycles, across years. The subscription matches how the tool actually gets used: a few sessions before treatment starts, then a check-in before each visit, ongoing as your situation evolves. Cancel anytime — one email, no forms, no questions. Documents you've already generated stay yours.
What if I'm mid-treatment, between treatments, or after treatment?+
Before Treatment Starts is built for the full journey. Phase 1 covers pre-treatment: diagnosis clarity, testing completeness, and the decisions before Day One. Phase 2 covers everything after: symptom thresholds, dose modification conversations, scan timing, what to bring to your next visit. Use it whenever a decision is in front of you.
Why not just use ChatGPT?+
ChatGPT will answer whatever you ask. Before Treatment Starts walks you through what to ask, including the decisions most patients don't know they're making. It's structured around the actual stages of cancer care — pre-treatment and during treatment — built by someone with 15 years inside oncology, covers eight decision domains rather than just clinical questions, and produces specific deliverables you can hand to your care team. ChatGPT is a conversation. This is a navigation system with a map.
Will my oncologist be OK with this?+
Yes — and most are grateful for it. The conversations and documents are written in collaborative language: questions to confirm, decisions to discuss, symptoms with functional anchors. Any good oncologist appreciates a prepared patient who brings science and specific questions. It makes the 15 minutes you have together far more efficient — fewer "I'll get back to you" moments, more decisions made in the room.
Will this work for my cancer type?+
Yes. Before Treatment Starts covers all cancer types with deep clinical guidance — from lung and breast to colorectal, prostate, ovarian, blood cancers, and beyond. It adapts to your specific diagnosis, proposed treatment, biomarker profile, and current phase of care.
Is this medical advice?+
No. Before Treatment Starts is an AI-powered educational tool that helps you prepare for and participate fully in conversations with your oncology team. It does not provide medical advice, diagnosis, or treatment recommendations, and like any AI tool, it can be wrong. Anything you receive should be verified with your oncologist and care team before acting on it. All clinical decisions belong to you and your doctors. This tool gives you the language to participate — not the decisions themselves.
For someone you love
The most useful thing you can give
someone facing cancer.
Not flowers. Not a meal. A guided conversation, four real clinical documents, and a map of every decision still ahead — before treatment begins and through every appointment after.
Send as a gift →Important: Before Treatment Starts is an educational tool. It is not a medical device, does not provide medical advice, and is not a substitute for the judgment of a licensed oncologist or care team. AI-generated content can contain errors. Always discuss any guidance from this tool with your physicians before making clinical decisions.