Second Opinion Program

Before you begin:

It’s a good idea to upload your previous medical records at the end of this questionnaire. The more information our physicians have about your conditions and prior treatments, the more in-depth we can be in our second opinion. Request your medical records from your doctors as soon as you can—record requests can take some time.

You can save this form at any stage.

The cost of a written second opinion report is $350. You also have an option of having a follow-up consultation with the physician for an additional $250. The form will take you to the payment page after you complete your questionnaire.