Free Testing Options in BC
In the province of British Columbia, genetic testing is offered through the provincially-funded Hereditary Cancer Program.
For people who do not qualify for the program or who for other reasons are interested in seeking out alternative testing options, there are also a wide number of commercial genetic testing programs, many of which are available online.
For more information about private testing options and how they compare, please click here.
Public (Provincially-Funded) Testing in BC
Benefits and Drawbacks
Considered the gold standard for testing, among all currently available testing options
Testing includes sequencing of the full genome for the family's index case’ (an individual identified in the family as being the most likely to carry the gene, for instance, because they have already developed a suspicious cancer)
Other family members will only be tested for gene mutations identified during the sequencing of the family index case (a speedier process)
Includes genetic counselling as part of the testing process, as well as a direct link to the province’s High-Risk Screening Clinic for further medical support
All files will meet provincial standards and will be guided through the necessary official channels for medical care
Not all individuals who are interested in receiving testing will qualify under the current provincial guidelines
Wait times to meet with your genetic counsellor to begin the screening process and to receive your results can sometimes be longer than other methods.
Hereditary Cancer Program (BC Cancer)
Website: BC Cancer - Hereditary Cancer Program
Vancouver: 604-877-6000 local 672198
Abbotsford: 604-851-4710 local 645236
Updated 9 June 2025
Cost of Test: Free for individuals who qualify
Genes Screened For: Includes BRCA1 and BRCA2, as well as other genes recommended for your individual situation
Includes Pre-Test Genetic Counselling: Yes
Includes Post-Test Support: Test results will be delivered over the phone by your assigned Genetic Counsellor. If your test is positive, the Genetic Counselor will outline your options and forward your file to the Hereditary Cancer Program’s High-Risk Screening Clinic at BC Cancer.
Referral Routes
Referrals are generally made through primary care providers, but occasionally patients are accepted by self-referral. Primary care providers can now order genetic testing directly through a system called Pathways. There is also a new pilot genetic testing program available for people with Jewish ancestry. To learn more about this program, click here.
Access Process
Ask your family physician to make a referral to the Hereditary Cancer Program, to order genetic testing directly or contact the Hereditary Cancer Program directly to self-refer. Include any information you have about family history of cancer and/or hereditary cancer genetic testing done for relatives
Next steps may include:
Booking a genetic counselling appointment for you
Booking a telephone appointment with you to get some more information
Sending you a family history form to complete
Sending you a letter that confirms you are on a waiting list to book a genetic counselling appointment
Sending a letter to inform you and your doctor that no appointment is needed
If you have a genetic counselling appointment and genetic testing via the Hereditary Cancer Program, another appointment will be booked to discuss your genetic test results.
Referral to the Hereditary Cancer Program High-Risk Screening Clinic is offered to women who receive positive genetic test results
A related consultation letter will be sent to your (referring) physician, and you will receive a copy of that letter.
Your genetic counsellor will provide suggestions about sharing information with your family members.
Talking to Your Primary Care Provider
Talking to your family doctor or primary care provider about genetic testing and BRCA risk can sometimes be intimidating.. You may know more about your risk as a person with Jewish heritage than your healthcare provider. In collaboration with BC Cancer’s Hereditary Cancer Program, we have developed a letter for you to take with you when you speak with your healthcare provider about being tested for BRCA. Please download and take this letter with you to your appointment with your doctor to discuss referral and testing options.