Inclusion Criteria:  All patients >21 years of age with invasive breast, prostate or liver cancer, who face a treatment decision patients of doctors who have consented to participate able to give consent and speak either English or Spanish will be eligible to participate. For provider recruitment, oncologists, and advanced practitioners caring for patients with breast, prostate, liver cancer including medical, surgical, radiation oncologists, interventional radiologists, urologists & hepatologists.  Exclusion Criteria:  Patients who are unable to give consent unable to understand English or Spanish lack of invasive breast/prostate/liver cancer those who do not face an imminent treatment decision