Our Services

Nurse Navigators

The GVO nurse navigators are liaisons between the patient, their family and the physicians. They have experience working with people with cancer and understand how challenging this experience can be. They are patient educators, advocates, care coordinators and system navigators and have a goal of improving your cancer care experience.

Your nurse navigator will help you by:

  • Serving as a continuous point of contact for you and your family throughout your entire cancer care experience
  • Educating and supporting you in making informed decisions about your care, recovery, and rehabilitation planning
  • Coordinating your appointments and facilitate your communications with physicians
  • Teaching you and your family members about your treatment and side effect management
  • Providing you and your family with support resources at Grand Valley Oncology and the surrounding community

Meet our Nurse Navigators

Judy Rorem, RN, OCN, CMC

Clinical Case Manager

Stephanie Coleman, RN, CHPN

Clinical Case Manager

Genetic Counseling

Provides genetic counseling and testing services for patients with all cancer types, including — but not limited to — breast cancer, ovarian cancer, gastrointestinal cancers, prostate cancer, and melanoma.

What is genetic counseling?

Genetic counseling is the process of helping people to learn about genetic conditions, discuss the chances of being affected by a genetic condition and make informed decisions about testing and treatment. At Grand Valley Oncology genetic counseling will focus on hereditary cancer risks in individuals and families. Genetic counseling is not psychotherapy. The whole process typically consists of 1-2 appointments with a genetic counselor.

How will genetic counseling and testing help me?

Genetic counseling helps you to make informed, personalized decisions about your health along with your care team. Information obtained from genetic counseling and testing is used to create a personalized cancer screening and risk reduction plan and can even provide information about cancer risks to your family members.

A genetic counselor can:

  • Help identify patients at risk for a heritable cancer syndrome and can discuss personalized surveillance and preventative options for those individuals
  • Determine the most appropriate genetic test(s) and the most informative approach to genetic testing for patients and their families
  • Identify the most informative family member to test
  • Interpret genetic test results
  • Help patients and their physicians understand and apply genetic test results to medical management decisions
  • Connect patients to supportive, informative and research-related resources

How do I know if my family has an increased risk for cancer?

There are certain characteristics or “red flags” seen in families with increased, hereditary cancer risks. These risk factors include:

  • Cancer diagnosed at an earlier age than the general population (example breast or colon cancer diagnosed under age 50)
  • Multiple generations of a family being diagnosed with cancer
  • Multiple family members diagnosed with the same type or related cancers (example breast and ovarian or colon and endometrial cancers)
  • Rare types of cancer diagnosed in a family
  • Individuals with more than one cancer diagnosis (not a cancer that has spread, but an individual with two or more different cancers being diagnosed. For example, pancreatic cancer and melanoma or bilateral breast cancer)
  • Precancerous conditions identified in one or more family members such as 10 or more colon polyps in a single individual

If I decide to come in for genetic counseling do I have to have genetic testing?

No. During the genetic counseling appointment, you will be provided with information to help you make an informed decision regarding genetic testing. If you decide not to pursue genetic testing or postpone genetic testing that is okay.

For further information about genetics and cancer please visit the Huntsman Cancer Institute website. To schedule a genetic counseling appointment please call us at (970) 254-3180 and request a genetic counseling appointment or speak to your doctor about completing a referral.

Meet Our Provider

Katie Lemas, MS, CGC

Genetic Counselor

Cancer Rehabilitation Program

Our Cancer Rehabilitation Program, offered through Community Hospital, is committed to improving quality of life for cancer patients through individualized rehabilitation exercise. Sessions help patients maximize independence in daily activities, improve strength and endurance, decrease fatigue, and manage pain.

Physical Therapy

Cancer and treatment can cause physical problems including pain, fatigue, and muscle weakness. These may then interfere with life in a variety of ways including physically, emotionally and practically. While not all cancer survivors need rehabilitation services that are guided by health care professionals, most will need to at least work on improving strength and stamina.

Lymphedema Clinic

Lymphedema causes swelling in the arms and legs. Some cancer survivors may experience lymphedema as a side effect of surgical or radiation cancer treatment. Early identification and treatment may prevent the condition from progressing and this can improve quality of life.

Occupational Therapy

Cancer and its treatment can cause interruptions in daily routines affecting how individuals perform their self-care, work, leisure or social activities. Occupational therapy practitioners have the knowledge and expertise to modify activities and environments to allow individuals to do the things they want and need to do to maintain quality of life.

Speech Therapist

Therapists address problems you might experience, including dry mouth, difficulty swallowing, loss of voice and cognitive changes that can result from cancer treatment.

Website Refrence Therapy Works

Social Services

Provides professional counseling and support for patients and families in coping with cancer.

Cancer research informs us that everyone with cancer has some level of distress at some point in time; it is normal to feel sad, fearful and helpless when facing cancer. This level of distress can be minor or become serious to the point you are so distressed you have difficulty coping in some or all areas of your life. Studies show managing stress positively affects your treatment outcome. Grand Valley Oncology offers social work services to our patients and their families throughout the course of treatment and beyond with survivorship support groups. Our oncology social worker is a licensed clinical social worker in the State of Colorado, experienced in the provision of:

  • Assisting patients and their loved ones deal with a cancer diagnosis (including individual, couples, and family counseling)
  • Supporting patients and their loved ones in making informed choices about care
  • Teaching stress reduction skills and other mind-body techniques to aid in the healing process, such as use of guided imagery, visualization and art therapy
  • Assisting patients in accessing community resources
  • Helping patients navigate the healthcare system
  • Acting as a bridge between patients and medical teams to ensure patient's needs are met
  • Supporting patients with their practical concerns such as transportation, housing, and work-related issues
  • Helping patients complete health care directive

Meet our Social Worker

Margot Robb, BSSW, MSSW, LCSW, LAC

Social Worker

Psychiatric services

Professional counseling is available to patients who have concerns beyond the physical aspects of treatment. This is often done as a referral.

Website Refrence Visit Mind Springs Health
Website Refrence Downlaod Patient Forms

Nutritional Services

Good nutrition is an important factor during cancer treatment and in the prevention of recurrence. Patients may receive a physician referral for nutrition consultation to help maintain or improve their nutritional status before, during, and after their cancer treatments. Community Hospital’s dietitians assist with developing nutritional plans for a variety of needs including enteral and parenteral nutrition. The dietitian also helps patients make decisions about the use of complementary therapies such as glutamine and omega-3 fatty acid supplementation during treatment.

Community Hospital's dietitians are frequent participants and presenters of nutritional information at support groups for oncology patients and their families.


Spiritual Care Service

Spirituality is our connection with what exists beyond our physical experience. It can provide a way to find hope and strength during difficult times. It can serve as a source of comfort as you and your family are impacted by a diagnosis of cancer.

Grand Valley Oncology’s chaplains recognize the importance of faith when facing a health crisis such as a diagnosis of cancer. They are available to listen and offer spiritual support to you or your loved ones regardless of your spiritual or religious beliefs.

Cancer Support groups

Women with Cancer Support Group- meets 3rd Thursday monthly.


Resources for Cancer Survivors/Patients

As part of our affiliation with Huntsman Cancer Institute we have access to many of their patient resources. Huntsman Cancer Institute’s Patient Education Committee has approved fact sheets for distribution to patients and caregivers. Please use this site as a resource for up-to-date fact sheets. You will find information on cancer types, treatment, side effects of treatment and ETC.