 The investigators hypothesis is that an intervention of providing patients indicated for geneticfamilial risk with timely information and opportunity to access genetic counseling during breast imaging will shift BRCA testing to before definitive breast cancer surgery, for patients with a breast cancer diagnosis, and could impact surgical decisions. The investigators will identify barriers to this intervention from the perspective of patients, physicians, nurses, and genetic counselors. The investigators will then adjust the intervention to overcome the barriers and will test the intervention at the point where geneticfamilial risk assessment based on NCCN guidelines is or should be conducted at breast imaging. If indicated, patients will be provided information and will be referred to genetic counseling to consider BRCA tests. 