Statement: the primary trial has two cohorts.
Primary_evidence: INTERVENTION 1:    Multicomponent Intervention   1.) A one-page paper-pencil agenda setting checklist completed immediately before a regularly scheduled medical oncology visit to elicit and align patient and companion perspectives regarding issues to discuss with the provider, and to stimulate discussion about the role of the companion in the visit, 2.) facilitated registration for the patient portal (for patient and family member, as desired by the patient), and 3.) education (as relevant) on access to doctor's electronic visit notes. INTERVENTION 2:    Usual Care   Care as usual with the medical oncologist.