Understand which treatment options may be right for you
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Feel confident knowing you are on the right path.
We help women diagnosed with:
- Ductal carcinoma in situ (DCIS)
- Lobular carcinoma in situ (LCIS)
- Invasive ductal cancer
- Invasive lobular breast cancer
- Inflammatory breast cancer
- Paget's disease
Get clear answers from world-class cancer expertise.
This expertise goes further than NCCN guidelines, and leverages the knowledge and insights from leading oncologists across Dana-Farber, giving you confidence that your treatment aligns with best-in-class standards.
With your personalized care plan review:
Answer a few simple questions and upload your latest treatment plan, pathology, imaging, test results, and recent doctor visit notes.
Using our proprietary and secure technology, as well as our expert team of reviewers, we can compare your treatment plan against standards from Dana-Farber to ensure you're getting the best treatment possible.
As part of your free review, we help identify if critical elements are missing from your care plan—such as medications to help with side effects, specialized care for menopausal symptoms, additional genetic testing that could benefit you or your family, behavioral health support, or important follow-ups. This ensures you know exactly what to discuss with your doctor to optimize your treatment.
Side effects and symptoms can have a tremendous impact on your day-to-day life. Get a review of the medications you are taking and receive clear, practical steps to help ease those symptoms, as well as additional guidance on how you can best communicate with your care team about getting the support you need.
You should never feel alone in this journey. Get connected with trusted resources guided by the expertise of a top cancer center that cares for tens of thousands of patients a year, backed by proven experience in supporting patients like you.
Defiant leverages Dana-Farber’s world-class expertise to ensure that your journey with Defiant is powered by Dana-Farber best practices. All clinical services are provided by Defiant Health and its other partners.
You shouldn’t have to navigate this alone—our team is here to help

Christina Palmer, MD
Dr. Christina Palmer is a board-certified primary care physician with over a decade of experience. She’s dedicated to making expert care more accessible, focusing on early detection, prevention, and timely treatment—especially for complex conditions and cancer care. She combines primary care with the latest technology to help patients get answers faster.
She earned her medical degree from the University of Pennsylvania and trained at UCSF. Licensed nationally, she’s committed to guiding patients through every stage of their health journey.
Outside of work, Dr. Palmer enjoys hiking, running, and spending time with her family.

Payal Srinivasa, MD, MHCI
Dr. Payal Srinivasa is a board-certified OB/GYN and physician leader with 15 years of experience. She’s passionate about improving patient access to high-quality, evidence-based care, with a focus on trauma-informed care and health equity.
She has helped patients through life’s most joyful and challenging health experiences and is an advocate for using technology to enhance care—without losing the human touch.
Dr. Srinivasa earned her medical degree from Boston University and a Master’s in Health Care Innovation from the University of Pennsylvania. She’s received awards for patient experience and medical education.
When she’s not working, she enjoys cooking, traveling with her family, and running (slowly!).
Why is this free? We believe everyone deserves access to expert guidance during cancer care. We want you to feel the difference that personalized, expert care can make — and while we hope you'll want to continue working with us, there's no obligation to do so.
This service is FSA/HSA eligible.
Imaging and other tests are not included in this cost. Our radiology and lab partners will accept most insurances.
Answers to commonly-asked questions
Our New Diagnosis service is for those who are newly diagnosed with breast cancer or have a recent recurrence of cancer.
We offer same-day or next-day virtual appointments. No waiting weeks just to get started.
Defiant currently offers services in Massachusetts, with other locations coming soon.
If you're looking for additional support and want to speak 1-on-1 with one of our doctors, you can book time with them directly from our site. No referral needed.
Yes, Defiant can work with your current primary care doctor or other specialists (such as a gynecologist) to help coordinate your care throughout the process. If you don’t have a primary care doctor, we can still help you.
Absolutely. We’re here to support you wherever you are in your cancer care.
All records are uploaded through our secure, HIPAA-compliant portal. Your information is kept private and protected at every step.
We refer to high-quality imaging centers near you. We’ll handle scheduling and coordination.
We expedite your imaging—typically within days, not weeks. We'll coordinate everything, including getting your prior images and records if you have any, and help cut through the delays.
Absolutely. We’ll break everything down in plain language, and we’re available to answer questions every step of the way.
Yes. We can help you understand how to make the decisions about where to seek care, and guide you through your options. And we will take care of the referral.
Dana-Farber partnered in founding Defiant because Dana-Farber believes that all patients deserve timely access to expert diagnosis. Dana-Farber powers Defiant through access to best practices and clinical protocols that inform Defiant’s diagnostic process and treatment options.
Yes. We accept most health insurance plans, including Medicare, Medicaid, and Commercial. However, Defiant Health is unable to offer services to people in HMO health plans. If you’re unsure whether your insurance plan is accepted, reach out to us at support@defianthealth.com.
Depending on your plan, you may be responsible for a co-pay, coinsurance, or deductible, which will be billed at the time of your visit.
All imaging, labs, and specialist visits ordered by your Defiant Health clinician will be billed directly to your insurance by our partners. Some services, such as genetic testing and second opinions, may not be covered by your plans, but we will do our best to find affordable options for you if that is the case.
Yes, the New Diagnosis service offered by Defiant Health is considered an eligible medical expense that can be paid for using FSA and HSA dollars.